MEDICARE: KIMBERLY JO CRANDALL FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	NURR26951	AK
2	363LF0000X	Family Nurse Practitioner	198965	AK

General Provider Information

NPI Number	:	1275277238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY JO CRANDALL FNP-BC

Provider Business Mailing Address
First Line	:	1901 N HEMMER RD STE 211
Second Line	:
City	:	PALMER
State	:	AK
Zip	:	99645-9690
Country	:	US
Telephone Number	:	907-203-4677
Fax Number	:	907-745-3780

Provider Business Practice Location Address
First Line	:	1901 N HEMMER RD APT 208
Second Line	:
City	:	PALMER
State	:	AK
Zip	:	99645-9673
Country	:	US
Telephone Number	:	907-203-4677
Fax Number	:	800-516-0397

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2022
Last Update Date	:	07/15/2025

Similar Medicare Providers

1427903533 — RILEY WILSON
Practice Location Address:

1901 N HEMMER RD APT 109
PALMER, AK
99645-9673

Practice Phone: 907-795-8115
Practice Fax:

1841834868 — CHELSEA SHARPLESS
Practice Location Address:

1901 N HEMMER RD
PALMER, AK
99645-9673

Practice Phone: 907-317-9349
Practice Fax:

1356068480 — LAKEVIEW FAMILY PRACTICE, LLC
Practice Location Address:

1901 N HEMMER RD APT 208
PALMER, AK
99645-9673

Practice Phone: 907-203-4677
Practice Fax: 800-516-0397

1649142001 — SAMANTHA GIBSON FNP-BC, APRN
Practice Location Address:

1901 N HEMMER RD APT 208
PALMER, AK
99645-9673

Practice Phone: 907-203-4677
Practice Fax: 800-516-0397

1285501593 — NORTHERN BLOOM HEALTH AND WELLNESS, LLC
Practice Location Address:

1901 N HEMMER RD APT 208
PALMER, AK
99645-9673

Practice Phone: 907-203-4677
Practice Fax: 800-516-0397

1689522823 — LA' ZAYVIA SM JOHNSON
Practice Location Address:

7335 E PALMER WASILLA HWY
PALMER, AK
99645-7710

Practice Phone: 907-745-6200
Practice Fax: 907-215-3343

Directions to “ KIMBERLY JO CRANDALL FNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.