Jerome R Crane, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA01073 Issued in TX

Practice address

707 N Waldrip St
Grand Saline, TX 75140-1555

Phone

(903) 962-4242

Fax

(903) 962-7799

NPI assigned

Mar 1, 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 5

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Mother Frances Hospital Regional Health Care Center

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1679578439
  Medicare reassignment NPD
• Dallam-Hartley Counties Hospital District

  • Critical Access Hospital
  • Dalhart, TX
  • NPI 1245353747
  Medicare reassignment
• Imed Physician Network, Inc.

  • Interventional Pain Medicine Physician
  • Lancaster, TX
  • NPI 1063809465
  Medicare reassignment
• Mother Frances Hospital Jacksonville

  • Critical Access Hospital
  • Jacksonville, TX
  • NPI 1952306672
  Medicare reassignment
• Wellness & Care Group of Texas, Inc.

  • General Practice Physician
  • Plano, TX
  • NPI 1487964870
  Medicare reassignment
• Dallam-Hartley Counties Hospital District

  • Rural Health Clinic/Center
  • Dalhart, TX
  • NPI 1467799262
  NPD
• Dallam-Hartley Counties Hospital District

  • Land Ambulance
  • Dalhart, TX
  • NPI 1689032856
  NPD
• East Texas Medical Center Healthcare Associates

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1124062484

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1942338702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N WALDRIP ST",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "751401555",
            "telephone_number": "903-913-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N WALDRIP ST",
            "city": "GRAND SALINE",
            "state": "TX",
            "postal_code": "751401555",
            "telephone_number": "903-962-4242",
            "fax_number": "903-962-7799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Dawson St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "75701",
            "country_code": "US",
            "telephone_number": "903-606-6425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E Dawson St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012036",
            "country_code": "US",
            "telephone_number": "903-606-4262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13988 Diplomat Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Farmers Branch",
            "state": "TX",
            "postal_code": "752348831",
            "country_code": "US",
            "telephone_number": "972-865-4454",
            "fax_number": "214-888-4450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "749 N Waldrip St Ste B",
            "address_purpose": "LOCATION",
            "city": "Grand Saline",
            "state": "TX",
            "postal_code": "751401555",
            "country_code": "US",
            "telephone_number": "903-962-4242",
            "fax_number": "903-962-7799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRANE",
        "first_name": "JEROME",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1A3305",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8561ND",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "909591",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307729903",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8MD176",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Grand Saline
• Janice Colegrove
• Community Urgent Care, LLC
• Country Trails Hospice,LTD.
• Cozby-Germany Hospital
• Katherine Dheere, MA-CCC-SLP
• Dierksen Hospice LLC
• East Texas Medical Center Quitman
• Ekklesia Healthcare, L.L.C.
• Sharon Evans, MSLP

• Physician Assistant in Grand Saline, TX
• Providers in Grand Saline, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.