MR. CRAIG STEPHEN KANTACK PA-C
NPI 1699052357
Physician Assistant - Medical in Idaho Falls, ID
About Mr. Craig Stephen Kantack Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CRAIG STEPHEN KANTACK PA-C (NPI 1699052357) is an individual medical provider in Idaho Falls, Idaho, licensed in Idaho (PA-984) and active in the NPI registry since November 2011. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted 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)
Mr. Craig Stephen Kantack Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Craig Kantack's NPI number?
The NPI number for Craig Kantack is 1699052357. It was assigned to this individual provider in the NPPES registry on November 9, 2011.
Where is Craig Kantack located?
Craig Kantack practices at 740 S Woodruff Ave, Idaho Falls, ID 83401. The listed phone number is (208) 542-9111.
What is Craig Kantack's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Craig Kantack enrolled in Medicare?
Yes. Craig Kantack is registered in the Medicare PECOS enrollment system.
What insurance does Craig Kantack accept?
Health plans from Providence Health Plan list Craig Kantack 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 Craig Kantack was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
