MRS. CHARLENE ANN CRANDALL PA
NPI 1124059217
Physician Assistant - Surgical in Gilbert, AZ

Q: What is Charlene Crandall's NPI number?

The NPI number for Charlene Crandall is 1124059217. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Q: What is Charlene Crandall's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Charlene Crandall was last updated on March 31, 2023, 3 years ago. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 06, 2006PECOS Enrolled

81.49/100

CMS Quality Rating

BANNER MD ANDERSON CANCER CENTER, 2940 E. BANNER GATEWAY DRIVE, GILBERT, AZ 85234(480) 256-6444(480) 256-3682 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 31, 2023, Mar 26, 2020 (2 updates tracked since 2020).

On this page

About Mrs. Charlene Ann Crandall Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. CHARLENE ANN CRANDALL PA (NPI 1124059217) is an individual surgical provider in Gilbert, Arizona, licensed in Arizona (2666) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124059217

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMRS. CHARLENE ANN CRANDALLCredential: PA

Location AddressBANNER MD ANDERSON CANCER CENTER, 2940 E. BANNER GATEWAY DRIVEGilbert, AZ 85234

Mailing AddressBanner Md Anderson Cancer Center, 2940 E. Banner Gateway DriveGilbert, AZ 85234 · (480) 256-6444 · Fax (480) 256-3682

Phone(480) 256-6444

Fax(480) 256-3682

Sole ProprietorNo

Enumeration DateJuly 6, 2006

Last NPPES UpdateMarch 31, 20232 updates tracked since enumeration

NPPES CertifiedMarch 31, 2023

✔ NPI 1124059217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in AZ · 2666

Also ListedPhysician AssistantTaxonomy 363A00000X · License 2666 (AZ)

BANNER MD ANDERSON CANCER CENTER, Gilbert, AZ 85234

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Charlene Ann Crandall Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

27 services27 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

16 services16 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.49/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Cost

38.3

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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TESSA LOUISE MEYER FNP

Nurse Practitioner (Family)

BANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234

Maricopa County (480) 256-6444

DR. JOEL R MEYER MD

Radiology (Diagnostic Radiology)

BANNER MD ANDERSON CANCER CENTER, 2940 E. BANNER GATEWAY DRIVE SUITE 350
GILBERT, AZ 85234

Maricopa County (480) 256-6444

RAJESH RAMANATHAN MD

Surgery (Surgical Oncology)

BANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234

Maricopa County (480) 256-6444

SARAH E NICHOLAS MD

Radiology (Radiation Oncology)

BANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234

Maricopa County (480) 256-6444

MA JANICE LALITHA A DESIONGCO NP

Nurse Practitioner (Adult Health)

BANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234

Maricopa County (480) 256-6444

RICHELLE B MILLER NP

Nurse Practitioner (Adult Health)

BANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234

Maricopa County (480) 256-6444

RACHAEL YASUDA PA

Physician Assistant

BANNER MD ANDERSON CANCER CENTER, 2946 E. BANNER GATEWAY DRIVE
GILBERT, AZ 85234

Maricopa County (480) 256-6444

DR. LEWIS KIE SHIN MD

Radiology (Body Imaging)

BANNER MD ANDERSON CANCER CENTER, 2946 E BANNER GATEWAY DRIVE
GILBERT, AZ 85234

Maricopa County (480) 256-6444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charlene Crandall's NPI number?

The NPI number for Charlene Crandall is 1124059217. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Charlene Crandall located?

Charlene Crandall practices at Banner MD Anderson Cancer Center 2940 E. Banner Gateway Drive, Gilbert, AZ 85234. The listed phone number is (480) 256-6444.

What is Charlene Crandall's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Charlene Crandall enrolled in Medicare?

Yes. Charlene Crandall is registered in the Medicare PECOS enrollment system.

What insurance does Charlene Crandall accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Charlene Crandall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charlene Crandall was last updated on March 31, 2023, 3 years ago. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.