Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alan E Crandall, PA-C

Individual provider Physician Assistant · NPI 1770002974

Alan E Crandall, PA-C is a Physician Assistant in Blackfoot, Idaho. Qualified in 2016, 10 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
10
Licensed in
ID
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

98 Poplar St
Blackfoot, ID 83221-1758
Phone: (208) 785-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6165 W Emerald St, Boise, ID 83704-8613 — (208) 302-3900
  • 740 S Woodruff Ave, Idaho Falls, ID 83401-5285 — (208) 542-9111

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1498 (ID)

Record details

NPI number1770002974
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 19, 2017
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing address740 S Woodruff Ave, Idaho Falls, ID 83401-5285

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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