JOSHUA CRANDALL PA-S
NPI 1740080050
Physician Assistant in Jacksonville, FL

Q: What is Joshua Crandall's NPI number?

The NPI number for Joshua Crandall is 1740080050. It was assigned to this individual provider in the NPPES registry on March 17, 2025.

Q: What is Joshua Crandall's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Joshua Crandall was last updated on September 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 17, 2025PECOS Enrolled

6675 CORPORATE CENTER PKWY STE 115, JACKSONVILLE, FL 32216(904) 245-8910 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 8, 2025, Mar 17, 2025 (2 updates tracked since 2025).

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About Joshua Crandall Pa-s NPPES

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

JOSHUA CRANDALL PA-S (NPI 1740080050) is an individual physician assistant in Jacksonville, Florida, licensed in Florida (PA9120677) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS, is affiliated with Florida Hospital Flagler, and maintains a secondary practice location in Daytona Beach.

NPPES Registry Identity

NPI1740080050

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJOSHUA CRANDALLCredential: PA-S

Location Address6675 CORPORATE CENTER PKWY STE 115Jacksonville, FL 32216-8088

Mailing Address6650 Corporate Center Pkwy Apt 905Jacksonville, FL 32216-8728 · (603) 494-5278

Phone(904) 245-8910

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 17, 2025

Last NPPES UpdateSeptember 8, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2025

✔ NPI 1740080050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in FL · PA9120677

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Location 1

Location 1222 S Peninsula DrDaytona Beach, FL 32118-4422 · Phone (386) 310-2160 · Fax (386) 310-2106

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joshua Crandall Pa-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537664503

PECOS Enrollment IDI20250923001481

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100118

Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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 19

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

JUSTIN VINOMON

Physician Assistant