Matthew Tyler Crance, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

011002239 Issued in VA

Practice address

108 Houston St
Suite E
Lexington, VA 24450

Phone

(540) 463-3162

Fax

(540) 463-3213

NPI assigned

Jan 17, 2007

Last updated

Mar 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1487706693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 LAMBERT ST",
            "address_2": "STE 111",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244012421",
            "telephone_number": "540-461-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 HOUSTON ST",
            "address_2": "SUITE E",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "24450",
            "telephone_number": "540-463-3162",
            "fax_number": "540-463-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANCE",
        "first_name": "MATTHEW",
        "middle_name": "TYLER",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "011002239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Jeremy Cosgriff, PA-S
• Christopher Kirk Coslett, D.C.
• Malcolm Lowell Cothran Jr., MD
• Barbara W. Cox, R.N.
• Jenny Howard Crance, R.N., N.P.
• James Randolph Crews, MD
• Kelsey Lynn Croak, MED, LAT, ATC
• Dennis Cropper, PH. D.
• Toinette Marie Culp, PHYSICAL THERAPIST
• Elizabeth B. Curry, LPC

• Physician Assistant in Lexington, VA
• Providers in Lexington, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.