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HILLARY ANN CRANDALL MD
NPI 1619119203
Pediatrics - Pediatric Critical Care Medicine in Salt Lake City, UT

Active since March 30, 2009PECOS EnrolledAccepts Medicare Assignment
100 MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-1000 Get Directions Write a Review

NPPES record last updated: August 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2025, Dec 3, 2021, Feb 28, 2020 (3 updates tracked since 2020).

About Hillary Ann Crandall Md NPPES

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

HILLARY ANN CRANDALL MD (NPI 1619119203) is an individual pediatric critical care medicine provider in Salt Lake City, Utah, licensed in Utah (7771822-1205) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and is a graduate of University Of Utah School Of Medicine (2008).

NPPES Registry Identity

NPI1619119203
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameHILLARY ANN CRANDALLCredential: MD
Location Address100 MARIO CAPECCHI DRSalt Lake City, UT 84113-1103
Mailing AddressPo Box 413021Salt Lake City, UT 84141-3021
Phone(801) 662-1000
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2008
Enumeration DateMarch 30, 2009
Last NPPES UpdateAugust 16, 20253 updates tracked since enumeration
NPPES CertifiedAugust 16, 2025
✔ NPI 1619119203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in UT · 7771822-1205
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
100 MARIO CAPECCHI DR, Salt Lake City, UT 84113
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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 and accepts Medicare assignment

Hillary Ann Crandall Md 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 ID2567694334
PECOS Enrollment IDI20150702002614
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.

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.

KAITLIN CARPENTER
Pediatrics
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
DR. NICOLE JEFFREYS MD
Anesthesiology (Pediatric Anesthesiology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3578
SARAH ZOBELL NP
Nurse Practitioner (Pediatrics)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1619
MRS. GIOVANA MARTENDAL KING NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-4100
DR. STEVEN SHI-FONG WU
Pediatrics (Pediatric Gastroenterology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-2900
KRISTA SKYE VIAU MS, RD, CSP, CD
Dietitian, Registered (Nutrition, Metabolic)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 587-9590
DR. ANDREW GERALD SMITH M.D.
Pediatrics (Pediatric Critical Care Medicine)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3673
MARY HUNT MARTIN MD
Pediatrics (Pediatric Cardiology)
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-5400

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 Hillary Crandall's NPI number?

The NPI number for Hillary Crandall is 1619119203. It was assigned to this individual provider in the NPPES registry on March 30, 2009.

Where is Hillary Crandall located?

Hillary Crandall practices at 100 Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-1000.

What is Hillary Crandall's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Hillary Crandall enrolled in Medicare?

Yes. Hillary 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.

When was this NPI record last updated?

The NPPES record for Hillary Crandall was last updated on August 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.