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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALLYSE MCKENNA CRANDALL
NPI 1336986918
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since July 11, 2024PECOS Enrolled
502 WOODRUFF PLACE MIDDLE DR, INDIANAPOLIS, IN 46201(812) 890-7853 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 15, 2026, Jul 11, 2024 (2 updates tracked since 2024).

About Allyse Mckenna Crandall NPPES

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

ALLYSE MCKENNA CRANDALL (NPI 1336986918) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336986918
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALLYSE MCKENNA CRANDALL
Location Address502 WOODRUFF PLACE MIDDLE DRIndianapolis, IN 46201-1928
Mailing Address502 Woodruff Place Middle DrIndianapolis, IN 46201-1928 · (812) 890-7853
Phone(812) 890-7853
Sole ProprietorNo
Enumeration DateJuly 11, 2024
Last NPPES UpdateSeptember 15, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2026
✔ NPI 1336986918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
502 WOODRUFF PLACE MIDDLE DR, Indianapolis, IN 46201
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allyse Mckenna Crandall 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.

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 Allyse Crandall's NPI number?

The NPI number for Allyse Crandall is 1336986918. It was assigned to this individual provider in the NPPES registry on July 11, 2024.

Where is Allyse Crandall located?

Allyse Crandall practices at 502 Woodruff Place Middle Dr, Indianapolis, IN 46201. The listed phone number is (812) 890-7853.

What is Allyse Crandall's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Allyse Crandall enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Allyse Crandall was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.