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KIMBERLY JO CRANDALL FNP-BC
NPI 1275277238
Nurse Practitioner - Family in Palmer, AK

Active since April 26, 2022PECOS EnrolledAccepts Medicare Assignment
1901 N HEMMER RD APT 208, PALMER, AK 99645(907) 203-4677(800) 516-0397 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 28, 2022, Apr 26, 2022 (2 updates tracked since 2022).

About Kimberly Jo Crandall Fnp-bc NPPES

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

KIMBERLY JO CRANDALL FNP-BC (NPI 1275277238) is an individual family provider in Palmer, Alaska, licensed in Alaska (198965) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Palmer, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1275277238
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY JO CRANDALLCredential: FNP-BC
Location Address1901 N HEMMER RD APT 208Palmer, AK 99645-9673
Mailing Address1901 N Hemmer Rd Ste 211Palmer, AK 99645-9690 · (907) 203-4677 · Fax (907) 745-3780
Phone(907) 203-4677
Fax(800) 516-0397
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 26, 2022
Last NPPES UpdateJuly 15, 20252 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
✔ NPI 1275277238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AK · 198965
Also ListedRegistered NurseTaxonomy 163W00000X · License NURR26951 (AK)
1901 N HEMMER RD APT 208, Palmer, AK 99645
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Secondary Practice Location 1

Location 12500 S Woodworth LoopPalmer, AK 99645-8984 · Phone (907) 861-6855 · Fax (907) 861-6791

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Jo Crandall Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305201450
PECOS Enrollment IDI20230425002746
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
112 services53 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
70 services70 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
22 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99645 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

NORTHERN BLOOM HEALTH AND WELLNESS, LLC
Family Medicine
1901 N HEMMER RD APT 208
PALMER, AK 99645
Matanuska-Susitna Borough (907) 203-4677
LAKEVIEW FAMILY PRACTICE, LLC
Clinic/Center (Primary Care)
1901 N HEMMER RD APT 208
PALMER, AK 99645
Matanuska-Susitna Borough (907) 203-4677
SAMANTHA GIBSON FNP-BC, APRN
Family Medicine
1901 N HEMMER RD APT 208
PALMER, AK 99645
Matanuska-Susitna Borough (907) 203-4677

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 Kimberly Crandall's NPI number?

The NPI number for Kimberly Crandall is 1275277238. It was assigned to this individual provider in the NPPES registry on April 26, 2022.

Where is Kimberly Crandall located?

Kimberly Crandall practices at 1901 N Hemmer Rd Apt 208, Palmer, AK 99645. The listed phone number is (907) 203-4677.

What is Kimberly Crandall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimberly Crandall enrolled in Medicare?

Yes. Kimberly Crandall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kimberly Crandall accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Kimberly 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 Kimberly Crandall was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. 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.