NPIMap

Individual provider Active NPI

Kaitlyn Cranney, PA

  • Physician Assistant
  • Columbus, IN
National Provider Identifier
1861972671
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10002534A Issued in IN
Practice address
2502 25TH St
Columbus, IN 47201-3728
Phone
(812) 372-8883
Fax
(812) 372-8964
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10002534A IN Primary

Addresses

Primary practice location

2502 25TH St
Columbus, IN 47201-3728

Mailing address

2502 25TH St
Columbus, IN 47201-3728
Phone (812) 372-8883

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kcranney11331@edirect.crh.org Direct
Direct Messaging Address kcranney515289@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, UT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180927001683 IN Practitioner - Physician Assistant 3971854175 Reassigns benefits to 1 organization
I20211011002336 UT Practitioner - Physician Assistant 3971854175 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1525 W 2100
Salt Lake City, UT 84119-1407
Phone (801) 213-9900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.01 of 100Reported as group
Quality
94.06
Promoting interoperability
100
Improvement activities
40
Cost
69.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10002534AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Regional Health Physicians, LLC CurrentSince Aug 21, 2018 Accepting new patients
University of Utah Community Physicians Group CurrentSince Aug 1, 2021 Accepting new patients
University of Utah Adult Services CurrentSince Aug 1, 2021 Accepting new patients
Columbus Regional Health Physicians, LLC CurrentSince Aug 21, 2018 Accepting new patients
University of Utah Adult Services CurrentSince Aug 1, 2021 Accepting new patients
University of Utah Community Physicians Group Past Accepting new patients

Locations

2502 25th St
Columbus, IN 47201
Phone (812) 372-8883

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

165 N University Ave
Farmington, UT 84025
Phone (801) 213-3200

7495 S State St
Midvale, UT 84047
Phone (801) 213-9400

1743 Redstone Center Dr
Ste 115
Park City, UT 84098
Phone (435) 658-9200

1525 W 2100 S
Salt Lake City, UT 84119
Phone (801) 213-8841

127 S 500 E
Ste 400B
Salt Lake City, UT 84102
Phone (801) 587-6478

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

5126 W Daybreak Pkwy
Ste 600
South Jordan, UT 84009

Interoperability endpoints

  • Direct secure messaging: kcranney11331@edirect.crh.org

Organizations & group practices 8

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1861972671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 25TH ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472013728",
            "telephone_number": "812-372-8883",
            "fax_number": "812-372-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 25TH ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472013728",
            "telephone_number": "812-372-8883",
            "fax_number": "812-372-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANNEY",
        "first_name": "KAITLYN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002534A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcranney11331@edirect.crh.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "2502 25th St",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472013728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcranney515289@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.