Robert David Crandall, M.P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0003720 Issued in CO

Practice address

6340 Barnes Rd
Colorado Springs, CO 80922-2602

Phone

(719) 522-1133

Fax

(719) 570-0601

NPI assigned

Apr 2, 2007

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

Other names 1

• Bob Crandall Other name

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optumcare Colorado Medical Group LLCGroup PAC ID 2769706431, 187 clinicians

Select Physical Therapy of Colorado Springs LPGroup PAC ID 3971498197, shared by 2 NPIs, 84 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rcrandall121004@westdirect.optum.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.

• Optumcare Colorado Medical Group LLC

  dba Optum Colorado Springs

  • General Practice Physician
  • Colorado Springs, CO
  • NPI 1407252828
  Medicare reassignment Care Compare group NPD (past)
• Optumcare Colorado Medical Group LLC

  dba Partners in Women's Health

  • Obstetrics & Gynecology Physician
  • Colorado Springs, CO
  • NPI 1881225175
  NPD
• Optumcare Colorado Medical Group LLC

  dba Colorado Center for Arthritis & Osteoporosis

  • Rheumatology Physician
  • Boulder, CO
  • NPI 1922893478
  NPD
• Optumcare Colorado Medical Group LLC

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1528190295
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1629199492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6340 BARNES RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222602",
            "telephone_number": "719-522-1133",
            "fax_number": "719-570-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "ROBERT",
        "middle_name": "DAVID",
        "credential": "M.P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0003720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79138861",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOB",
            "last_name": "CRANDALL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Scott Randall Cramer, D.C.
• Rebekah Elise Crampton
• Courtney Crance, DO
• Crandall Home Care of Colorado
• Carrie Jo Crandall, LPC
• Samantha Crandall
• Virginia Lou Crandall, CNM
• Benjamin Crane
• Marcy Crane
• Nancy Lynn C. Craney, MA, NEA-BC, RN

• Physician Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.