Samuel Crandell

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5000 Issued in AZ

Practice address

2241 W 16TH St
Safford, AZ 85546-4085

Phone

(520) 829-6900

Fax

(520) 795-9953

NPI assigned

Dec 21, 2011

Last updated

Mar 21, 2022By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, TX2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Carlos Apache Healthcare CorporationGroup PAC ID 0648580597, 147 clinicians

Mt Graham Regional Medical Center IncGroup PAC ID 6204822364, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Home Health Safford, LLC Home health agency, Safford, AZ, CCN 037815
• Mt. Graham Regional Medical Center Hospital, Safford, AZ, CCN 031319
• San Carlos Apache Healthcare Corporation Hospital, Peridot, AZ, CCN 031320

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72783
• Direct secure messaging: sam.crandell-mmmgrmc@contexture.medalliesmail.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• San Carlos Apache Healthcare Corporation

  • Critical Access Hospital Clinic/Center
  • Peridot, AZ
  • NPI 1265813075

  TX

  Medicare reassignment Care Compare group NPD
• Pain Institute of Southern Arizona Pisa PC

  • Pain Medicine (Anesthesiology) Physician
  • Tucson, AZ
  • NPI 1861575078
  Medicare reassignment NPD
• Mt Graham Regional Medical Center Inc

  • Critical Access Hospital
  • Safford, AZ
  • NPI 1275588345
  Care Compare group NPD
• Barnet Dulaney Perkins Eye Center, PC

  dba American Vision Partners

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1376574707
  Medicare reassignment
• Barnet Dulaney Perkins Eye Center, PC

  dba American Vision Partners

  • Ophthalmology Physician
  • Tucson, AZ
  • NPI 1851317861
  NPD
• Pain Institute of Southern Arizona Pisa PC

  dba Regional Pain Institute

  • Pain Medicine (Anesthesiology) Physician
  • San Tan Valley, AZ
  • NPI 1780268912
  NPD
• San Carlos Apache Healthcare Corporation

  dba Clarence Wesley Health Center

  • Clinic/Center
  • Bylas, AZ
  • NPI 1417330713
  NPD
• Family Medical Center PLLC

  • Rural Health Clinic/Center
  • Safford, AZ
  • NPI 1417125444
  NPD (past)
• Joel G. Wright M.D. PC

  dba Family Medical Center

  • Family Medicine Physician
  • Safford, AZ
  • NPI 1588616114
  NPD (past)
• Mt Graham Regional Medical Center Inc

  dba Copper Mountain Clinic

  • Rural Health Clinic/Center
  • Safford, AZ
  • NPI 1346528759
  NPD (past)
• Prescott Healthcare Solutions LLC

  dba Optima Medical

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1821454505
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Home Health Safford, LLC

  dba Choice Health at Home

  • Home Health Agency
  • Safford, AZ
  • NPI 1154915015
  Care Compare affiliation
• Mt Graham Regional Medical Center Inc

  • Critical Access Hospital
  • Safford, AZ
  • NPI 1275588345
  Care Compare affiliation
• San Carlos Apache Healthcare Corporation

  • Critical Access Hospital Clinic/Center
  • Peridot, AZ
  • NPI 1265813075
  Care Compare affiliation
• San Carlos Apache Healthcare Corporation

  dba Clarence Wesley Health Center

  • Clinic/Center
  • Bylas, AZ
  • NPI 1417330713

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1497024335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122704",
            "telephone_number": "520-829-6776",
            "fax_number": "520-829-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 W 16TH ST",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464085",
            "telephone_number": "520-829-6900",
            "fax_number": "520-795-9953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 S 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Safford",
            "state": "AZ",
            "postal_code": "855463301",
            "country_code": "US",
            "telephone_number": "928-428-3122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRANDELL",
        "first_name": "SAMUEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312708",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Partners Integrated Healthcare, Inc.
• Compass Medical Center Safford PLLC
• Kathleen Marie Conlon, FNP-C
• Alvin Joy Coon, D D S
• Jesse Robert Coons, DO
• Kelsey Lynn Crosby, FNP-C
• James Lee Culbertson, D.D.S.
• Eric Kay Curtis, D.D.S.
• Kay Deloy Curtis, D.D.S.
• Jessica Virginia Cvetic, PA-C

• Medical Physician Assistant in Safford, AZ
• Providers in Safford, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.