JESSICA L CRANDALL (RD) – Registered Dietitian, NPI 1760447650

JESSICA L CRANDALL (RD) is a healthcare provider. based in Centennial, Colorado. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RD. The NPI Number for JESSICA L CRANDALL (RD) is 1760447650

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA L CRANDALL (RD)
NPI
1760447650
Phone
(303) 562-4500
Address
7564 S XENIA CT
Enumeration Date
20 April 2006
Last Update Date
26 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3035624500
Graduation Year
2003 (23 years ago)
PAC ID
2466460951
Group Practice PAC ID
7416343926
Professional Enrollment ID
I20060324000228
Address ID
CO801122730CE7564XCTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:20State licenses:0Digital endpointsOther names

137 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in CO

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Provider Addresses for JESSICA L CRANDALL (RD)

  • 7564, South Xenia Court, Centennial, Arapahoe County, Colorado, 80112, United States

    CENTENNIAL, CO 801122730

    Phone: (303) 562-4500

    Fax: (833) 875-6789

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-03-24

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060324000228IRegistered Dietitian Or Nutrition ProfessionalCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97803Therapy procedure reassessment for nutrition management, each 15 minutes5913$0
97802Therapy procedure for nutrition management, each 15 minutes4513$0
View full utilization report →

Insurance plans in this area (ZIP 80112)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416343926View full group profile
NameSpecialtyState
Registered Dietitian Or Nutrition ProfessionalCO
Registered Dietitian Or Nutrition ProfessionalCO
Registered Dietitian Or Nutrition ProfessionalCO

Reviews

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Frequently asked questions

What NPI should I save for JESSICA L CRANDALL (RD)?
Save NPI 1760447650 if you need a stable reference for JESSICA L CRANDALL (RD).
Does this profile mean JESSICA L CRANDALL (RD) is currently active?
Yes — JESSICA L CRANDALL (RD) appears active in the national provider directory.
What kind of provider is JESSICA L CRANDALL (RD)?
The page reflects Registered Dietitian for JESSICA L CRANDALL (RD). Clinical services aligned with this taxonomy classification.
Does JESSICA L CRANDALL (RD) practice in Colorado?
You will see Centennial, Colorado on file for JESSICA L CRANDALL (RD) alongside any extra practice locations.
What if Centennial, Colorado seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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