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

Kimberly Jo Crandall, FNP-BC

Individual provider Registered Nurse · NPI 1275277238

Kimberly Jo Crandall, FNP-BC is a Nurse Practitioner in Palmer, Alaska. Qualified in 2022, 4 years ago. Practices with Lakeview Family Practice LLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
4
Licensed in
AK
In the registry since
2022
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1901 N Hemmer Rd Apt 208
Palmer, AK 99645-9673
Phone: (907) 203-4677
Fax: (800) 516-0397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2500 S Woodworth Loop, Palmer, AK 99645-8984 — (907) 861-6855

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 198965 (AK)
Registered Nurse Taxonomy 163W00000X · Licence NURR26951 (AK)

Record details

NPI number1275277238
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedApril 26, 2022
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lakeview Family Practice Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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