SHAD FREDRICK CRAPO PA-C
NPI 1912476649
Physician Assistant in Evanston, WY

Q: What is Shad Crapo's NPI number?

The NPI number for Shad Crapo is 1912476649. It was assigned to this individual provider in the NPPES registry on November 26, 2018.

Q: What is Shad Crapo'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 Shad Crapo was last updated on November 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 26, 2018PECOS EnrolledAccepts Medicare Assignment

195 FEATHER WAY, EVANSTON, WY 82930(307) 200-9200 Get Directions Write a Review

NPPES record last updated: November 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shad Fredrick Crapo Pa-c NPPES

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

SHAD FREDRICK CRAPO PA-C (NPI 1912476649) is an individual physician assistant in Evanston, Wyoming and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS, is affiliated with Madison Memorial Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1912476649

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameSHAD FREDRICK CRAPOCredential: PA-C

Location Address195 FEATHER WAYEvanston, WY 82930-9352

Mailing Address195 Feather WayEvanston, WY 82930-9352

Phone(307) 200-9200

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 26, 2018

✔ NPI 1912476649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

195 FEATHER WAY, Evanston, WY 82930

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan, Select Health and more.Insurance ›

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

Shad Fredrick Crapo Pa-c 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 ID2163764960

PECOS Enrollment IDI20210323000727

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 2

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

Madison Memorial Hospital

Acute Care Hospitals · Rexburg, ID

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number130025

Location450 East Main StreetRexburg, ID 83440 · Madison County

Emergency services

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID

1/5 CMS rating

OwnershipPhysician

CMS Certification Number130065

Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82930 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

$87.12 typical visit price

range $56.42 – $170.72

Typical copayment $21.78 (range $14.10 – $42.68)

Most-billed visit code 99203

Established Patient

$70.32 typical visit price

range $18.19 – $139.32

Typical copayment $17.58 (range $4.54 – $34.83)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers13 claims13 services$16.97 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers13 claims13 services$99.95 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 9

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

HIGH DESERT WOUND SOLUTIONS, LLC

Nurse Practitioner