NPIMap

Individual provider Active NPI

Peter Melvin Crane, M.D.

  • Family Medicine Physician
  • Montpelier, ID
National Provider Identifier
1891960233
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-11149 Issued in ID
Practice address
465 Washington St
Montpelier, ID 83254-1544
Phone
(208) 847-4495
NPI assigned
Apr 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01067036A IN
Family Medicine Physician 207Q00000X M-11149 ID Primary

Addresses

Primary practice location

465 Washington St
Montpelier, ID 83254-1544

Mailing address

465 Washington St
Montpelier, ID 83254-1544
Phone (208) 847-4495

Organizations & group practices 12

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 7

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

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Utah School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bear Lake County Memorial Hospital 31 clinicians

Practice addresses (Care Compare)

164 S
5TH
Montpelier, ID 83254-1557

164 S 5TH St
Montpelier, ID 83254-1557

166 S 5TH St
Montpelier, ID 83254-1557
Phone (208) 847-1110

465 Washington St
Montpelier, ID 83254-1544
Phone (208) 847-4495

467 Washington St
Montpelier, ID 83254-1544
Phone (208) 847-4495

Hospital & facility affiliations

  • Bear Lake Memorial Hospital Home Health Home health agency, Montpelier, ID, CCN 137069
  • Bear Lake Memorial Hospital Hospital, Montpelier, ID, CCN 131316
  • Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028
  • Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065
  • Intermountain Health Logan Regional Hospital Hospital, Logan, UT, CCN 460015
  • Bear Lake Memorial Hospital Nursing home, CCN 13Z316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20111026000851 ID Practitioner - Family Practice 8527105295 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-11149IDMDFamily Medicine Physician
01067036AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bear Lake County Memorial Hospital Family Medicine CurrentSince Sep 8, 2011 Accepting new patients
Bear Lake County Memorial Hospital Family Medicine CurrentSince Sep 8, 2011 Accepting new patients
Bear Lake County Memorial Hospital Current Accepting new patients
Open Door Health Services, Inc. Past Accepting new patients
Icem-Ball, LLC Past Accepting new patients
Emgi-Ball, LLC Past Accepting new patients
Bear Lake County Memorial Hospital Family Medicine Past Accepting new patients

Locations

467 Washington St
Montpelier, ID 83254
Phone (208) 847-4495

465 Washington St
Montpelier, ID 83254
Phone (208) 847-2878

164 S 5th St
Montpelier, ID 83254
Phone (208) 847-1630

Interoperability endpoints

  • Direct secure messaging: peter.crane.1@17373.direct.athenahealth.com
  • Direct secure messaging: pcrane620111@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1209254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1891960233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 WASHINGTON ST",
            "city": "MONTPELIER",
            "state": "ID",
            "postal_code": "832541544",
            "telephone_number": "208-847-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WASHINGTON ST",
            "city": "MONTPELIER",
            "state": "ID",
            "postal_code": "832541544",
            "telephone_number": "208-847-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANE",
        "first_name": "PETER",
        "middle_name": "MELVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-27",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01067036A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-11149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, ID

Sources for this page

Verify at the official NPI Registry.