ALYSA M CRAWFORD (PA) – Physician Assistant, NPI 1780879924

ALYSA M CRAWFORD (PA) is a healthcare provider. based in Fort wayne, Indiana. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 100240 (IA). The NPI Number for ALYSA M CRAWFORD (PA) is 1780879924

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
ALYSA M CRAWFORD (PA)
NPI
1780879924
Phone
(260) 484-8551
Address
5050 N CLINTON ST
Enumeration Date
11 September 2007
Last Update Date
12 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3193561616
Graduation Year
2007 (19 years ago)
PAC ID
9931282662
Group Practice PAC ID
7618884230
Professional Enrollment ID
I20220624000786
Address ID
IA522421009IO200XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,499 PHYSICIAN ASSISTANT in IN

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Provider Addresses for ALYSA M CRAWFORD (PA)

  • 5050, North Clinton Street, Fort Wayne, Allen County, Indiana, 46825, United States

    FORT WAYNE, IN 468255822

    Phone: (260) 484-8551

    Fax: (260) 484-9603

    Type: Location

  • 1721 Grantwood Dr

    Iowa City, IA 522405960

    Phone: (319) 512-8245

    Fax: (260) 484-9603

    Type: Location

  • 200 HAWKINS DR

    IOWA CITY, IA 522421009

    Phone: (319) 356-2110

    Fax: (319) 356-3392

    Type: Mailing

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: 2022-06-24

PECOS data refreshed: 2026-05-27

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
I20220624000786IPhysician AssistantIATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1816$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1311$0
View full utilization report →

Insurance plans in this area (ZIP 46825)

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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: 7618884230View full group profile

Reviews

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Frequently asked questions

How do payers reference ALYSA M CRAWFORD (PA)?
For ALYSA M CRAWFORD (PA), use NPI 1780879924 as the unique 10-digit identifier.
Would ALYSA M CRAWFORD (PA) appear as active to a payer?
You can treat ALYSA M CRAWFORD (PA) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is ALYSA M CRAWFORD (PA)?
ALYSA M CRAWFORD (PA) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is ALYSA M CRAWFORD (PA) associated with Fort Wayne?
Public fields place ALYSA M CRAWFORD (PA) around Fort Wayne, Indiana. Always confirm the exact site before visiting.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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