NPI age
8 years
Enumerated 2017-09-19
● Active
Type 1 · Individual
Alan E Crandall, PA-C
Crandall is 1 of 16 physician assistant providers in Blackfoot and 1 of 1263 in Idaho.
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1263 active physician assistant providers in Idaho.
NPI age
8 years
≈ at median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2017 → 2026
2017-09Enumerated in NPPES
2017
2026
Where they practice
Practice location
98 Poplar St
Blackfoot, ID 832211758
Mailing address
740 S Woodruff Ave
Idaho Falls, ID 834015285
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
740 S Woodruff Ave
Idaho Falls, ID 834015285
Location 3
6165 W Emerald St
Boise, ID 837048613
Specialties
-
Physician Assistant PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | CS46489 | STATE |
| 01 (ID) | PA-1498 | STATE |
Practice context
Part of a multi-provider practice. 107 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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