Active NPI
Alan E Crandall, PA-C
- Physician Assistant
- Blackfoot, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-1498
- Practice address
- 98 Poplar St
Blackfoot, ID 83221-1758 - Phone
- (208) 785-4100
- NPI assigned
- Sep 19, 2017
- Last updated
- Oct 21, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-1498 | ID | Primary |
Addresses
Primary practice location
98 Poplar St
Blackfoot, ID 83221-1758
Mailing address
740 S Woodruff Ave
Idaho Falls, ID 83401-5285
Phone (208) 542-9111
Other practice location 1
740 S Woodruff Ave
Idaho Falls, ID 83401-5285
Phone (208) 542-9111
Other practice location 2
6165 W Emerald St
Boise, ID 83704-8613
Phone (208) 302-3900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA-1498 | Other | ID | STATE |
| CS46489 | Other | ID | STATE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2121
3025 W Cherry LN
Meridian, ID 83642-8531
315 W Idaho St
Blackfoot, ID 83221-1711
Phone (208) 782-3990
4742 Yellowstone Ave
Pocatello, ID 83202-2336
Phone (208) 251-0316
4750 Yellowstone Ave
Pocatello, ID 83202-2336
Phone (208) 233-1720
850 Yellowstone Ave
Pocatello, ID 83201-4415
Phone (208) 239-8065
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-1498 | ID | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BMH, Inc. | Current | Accepting new patients | |
| Urgent Care Associates PLLC | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Physician Assistant | Current | Accepting new patients |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Sterling Provider Group | Current | Accepting new patients | |
| BMH Inc | Current | Accepting new patients | |
| BMH, Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| BMH, Inc. | Past | Accepting new patients | |
| BMH, Inc. | Past | Accepting new patients | |
| BMH, Inc. | Past | Accepting new patients | |
| BMH Inc. | Past | Accepting new patients |
Locations
3456 E 17th St
Ste 125
Ammon, ID 83406
Phone (208) 529-2828
1350 Parkway Dr
Ste A
Blackfoot, ID 83221
315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990
98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763
10965 W Overland Rd
Boise, ID 83709
Phone (208) 900-9901
1129 S Broadway Ave
Boise, ID 83706
Phone (208) 795-9790
6165 W Emerald St
Boise, ID 83704
Phone (208) 302-3500
6965 N Glenwood St
Boise, ID 83714
Phone (208) 853-3000
1404 Pomerelle Ave
Ste A1
Burley, ID 83318
Phone (208) 878-8783
5605 Northside Xing
Chubbuck, ID 83202
Phone (208) 547-5062
507 S Main St
Hailey, ID 83333
Phone (208) 788-0061
3302 Valencia Dr
Ste 120
Idaho Falls, ID 83404
Phone (208) 535-3635
3302 Valencia Dr
Ste 201
Idaho Falls, ID 83404
Phone (208) 524-9400
7017 Daisy Ln
Idaho Falls, ID 83402
Phone (208) 534-5878
740 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 542-9111
2201 Thain Grade
Lewiston, ID 83501
Phone (208) 717-3100
3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400
3185 E Ustick Rd
Meridian, ID 83646
Phone (208) 296-7100
1610 Caldwell Blvd
Nampa, ID 83651
Phone (208) 207-8500
4750 Yellowstone Ave
Ste A
Pocatello, ID 83202
Phone (208) 233-1720
850 Yellowstone Ave
Ste A
Pocatello, ID 83201
Phone (208) 239-8065
130 W Main St
Rexburg, ID 83440
Phone (208) 356-8818
275 W Locust St
Ste A
Shelley, ID 83274
Interoperability endpoints
- acrandall4603835@direct.trinity-health.org
- alancrandall@bmh.medalliesdirect.net
Organizations & group practices 13
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.
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
-
- Psychologist
- Boise, ID
- NPI 1649357716
Physician Assistant
-
dba Bingham Memorial Physicians & Surgeons Center
- Surgery Physician
- Blackfoot, ID
- NPI 1255539193
-
- Urgent Care Clinic/Center
- Idaho Falls, ID
- NPI 1205300407
-
dba Bingham Specialty Plaza
- Physical Medicine & Rehabilitation Physician
- Blackfoot, ID
- NPI 1992172993
-
dba 1st Choice Urgent Care & Medical Center-Chubbuck
- Family Medicine Physician
- Pocatello, ID
- NPI 1295502995
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
-
- Preferred Provider Organization
- Idaho Falls, ID
- NPI 1609046408
-
- Urgent Care Clinic/Center
- Butte, MT
- NPI 1871220038
-
dba Bingham Healthcare Specialty Clinic and Urgent Care - Yellowstone Ave
- Family Medicine Physician
- Pocatello, ID
- NPI 1215511241
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1770002974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 S WOODRUFF AVE",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834015285",
"telephone_number": "208-542-9111",
"fax_number": "208-542-9114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 POPLAR ST",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832211758",
"telephone_number": "208-785-4100"
}
],
"practiceLocations": [
{
"address_1": "740 S Woodruff Ave",
"address_purpose": "LOCATION",
"city": "Idaho Falls",
"state": "ID",
"postal_code": "834015285",
"country_code": "US",
"telephone_number": "208-542-9111",
"fax_number": "208-542-9114",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6165 W Emerald St",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837048613",
"country_code": "US",
"telephone_number": "208-302-3900",
"fax_number": "208-302-3955",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRANDALL",
"first_name": "ALAN",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-19",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA-1498",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "PA-1498",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "CS46489",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blackfoot, ID
- Community Council of Idaho, Inc. (Community Family Clinic Pharmacy)
- Complete Family Eye Care, PA
- Jacob Comstock
- Thomas Ray Cook
- Stacy Cooper, PA-C
- Nicole Criddle, LMSW
- Crimson Sky Therapy PLLC
- Heather Rochelle Curtis, M.D.
- Suzanne F. Dahl, LMSW
- Damon T. Armstrong D.D.S., P.C (Armstrong Dental Office)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.