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

Robert David Crandall, MPA

Individual provider Physician Assistant · NPI 1629199492

Robert David Crandall, MPA is a Physician Assistant in Colorado Springs, Colorado. Qualified in 2002, 24 years ago. Practices with Optumcare Colorado Medical Group LLC, a 190-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
24
Licensed in
CO
In the registry since
2007

Practice location Address checks out

6340 Barnes Rd
Colorado Springs, CO 80922-2602
Phone: (719) 522-1133
Fax: (719) 570-0601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0003720 (CO)

Record details

NPI number1629199492
Entity typeIndividual (Type 1)
GenderMale
Credentials MPA
Sole proprietorNo
NPI enumeratedApril 2, 2007
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Optumcare Colorado Medical Group Llc — 190 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Colorado Springs