NPIMap

Individual provider Active NPI

Jason Pearman Crawford, MD, MPH

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1871659334
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12445 Issued in NV
Practice address
10467 Double R Blvd
Reno, NV 89521-8905
Phone
(775) 853-9394
Fax
(775) 853-3339
NPI assigned
Dec 29, 2006
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12445 NV Primary

Addresses

Primary practice location

10467 Double R Blvd
Reno, NV 89521-8905

Mailing address

PO Box 19731
Reno, NV 89511-2430
Phone (775) 853-9394

Other practice location 1

1155 Mill St
Ground Floor - Tahoe Tower
Reno, NV 89502
Phone (775) 982-6450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070815000507 NV Practitioner - Family Practice 7113021833 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians

Practice addresses (Care Compare)

1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC CurrentSince Mar 21, 2018 Accepting new patients
Silver Sage Center for Family Medicine Family Medicine CurrentSince Apr 16, 2018 Accepting new patients
Community Care Services LLC CurrentSince Mar 21, 2018 Accepting new patients
Community Care Services LLC Family Medicine Current Accepting new patients
Primary Care Plus Foundation Family Medicine Past Accepting new patients

Locations

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

10467 Double R Blvd
Reno, NV 89521
Phone (775) 853-6390

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

1155 Mill St
Fl First
Reno, NV 89502

1664 N Virginia St
Reno, NV 89557
Phone (775) 784-1110

Interoperability endpoints

  • Direct secure messaging: jcrawford2042@direct.renown.org

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1871659334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19731",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112430",
            "telephone_number": "775-853-9394",
            "fax_number": "775-853-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10467 DOUBLE R BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218905",
            "telephone_number": "775-853-9394",
            "fax_number": "775-853-3339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 Mill St",
            "address_2": "Ground Floor - Tahoe Tower",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "89502",
            "country_code": "US",
            "telephone_number": "775-982-6450",
            "fax_number": "775-982-3983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "JASON",
        "middle_name": "PEARMAN",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "12445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.