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NANCY ELLEN CRANDALL RNP
NPI 1356454250
Nurse Practitioner in Providence, RI

Active since August 16, 2006PECOS Enrolled
2 DUDLEY ST, SUITE 470, PROVIDENCE, RI 02905(401) 228-0600(401) 868-2311 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 19, 2025, Jan 29, 2020, Jan 10, 2017 (3 updates tracked since 2017).

About Nancy Ellen Crandall Rnp NPPES

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

NANCY ELLEN CRANDALL RNP (NPI 1356454250) is an individual nurse practitioner in Providence, Rhode Island, licensed in Rhode Island (APRN00040) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356454250
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNANCY ELLEN CRANDALLCredential: RNP
Location Address2 DUDLEY ST, SUITE 470Providence, RI 02905-3236
Mailing AddressPo Box 16149Rumford, RI 02916-0697 · (401) 453-9625 · Fax (401) 435-7069
Phone(401) 228-0600
Fax(401) 868-2311
Sole ProprietorNo
Enumeration DateAugust 16, 2006
Last NPPES UpdateMarch 19, 20253 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1356454250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in RI · APRN00040
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License NPP20893 (RI), APRN00040 (RI)
2 DUDLEY ST, Providence, RI 02905
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nancy Ellen Crandall Rnp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nancy Crandall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifespan Physician Group, Inc.
0.1 mi
General Practice
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 1,372 clinicians in this Medicare group
NPI 1407116643 (401) 444-6779
University Surgical Associates, Inc.
15 mi
Surgery
2 DUDLEY ST STE 470
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 99 clinicians in this Medicare group
NPI 1376589895 (401) 272-1800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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 20

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

LARS STANGENBERG MD
Surgery (Vascular Surgery)
2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905
Providence County (401) 553-8318
ALICIA P CAPRIO
Student in an Organized Health Care Education/Training Program
2 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100
CHARLENE A TATE MD
Psychiatry & Neurology (Neurology)
2 DUDLEY ST, SUITE 555
PROVIDENCE, RI 02905
Providence County (401) 444-6168
DR. PHILLIP R LUCAS M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 457-2102
J DONALD EASTON MD
Psychiatry & Neurology (Neurology)
2 DUDLEY ST, SUITE 555
PROVIDENCE, RI 02905
Providence County (401) 444-6168
MRS. AMY POTTER PILOTTE APN, BC
Nurse Practitioner (Adult Health)
2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905
Providence County (401) 228-0595
NANCY ELEANOR STONE NP
Nurse Practitioner
2 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 453-4500
EDWARD J. MARCACCIO JR. MD
Surgery (Vascular Surgery)
2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905
Providence County (401) 553-8318

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 Nancy Crandall's NPI number?

The NPI number for Nancy Crandall is 1356454250. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Nancy Crandall located?

Nancy Crandall practices at 2 Dudley St Suite 470, Providence, RI 02905. The listed phone number is (401) 228-0600.

What is Nancy Crandall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nancy Crandall enrolled in Medicare?

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

Which organizations bill Medicare for Nancy Crandall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Crandall reassigns Medicare benefits to 2 organizations: Lifespan Physician Group, Inc. (Providence, RI) and University Surgical Associates, Inc. (Providence, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nancy Crandall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nancy Crandall was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.