DR. LAURA ANN CRANDALL (D.O.) – Internal Medicine Physician, NPI 1477767101

DR. LAURA ANN CRANDALL (D.O.) is a healthcare provider. based in Saint louis, Missouri. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 036-1380876 (IL). The NPI Number for DR. LAURA ANN CRANDALL (D.O.) is 1477767101

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. LAURA ANN CRANDALL (D.O.)
NPI
1477767101
Phone
(618) 207-6900
Address
PO BOX 23340
Enumeration Date
10 May 2007
Last Update Date
2 February 2023

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
6182076900
Graduation Year
2004 (22 years ago)
PAC ID
3577655869
Group Practice PAC ID
7618350448
Professional Enrollment ID
I20120820001130
Address ID
IL622697377SH1167XBLVD300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

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Provider Addresses for DR. LAURA ANN CRANDALL (D.O.)

  • PO BOX 23340

    SAINT LOUIS, MO 631563340

    Phone: (618) 207-6900

    Fax: (618) 207-6901

    Type: Mailing

  • PO BOX 419059

    SAINT LOUIS, MO 631419059

    Phone: (618) 207-6900

    Fax: (618) 207-6901

    Type: Mailing

  • 1167, Fortune Boulevard, Shiloh, Saint Clair County, Illinois, 62269, United States

    SHILOH, IL 622697377

    Phone: (618) 207-6900

    Fax: (618) 207-6901

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 78 Open Payments records for all available years, with a total value of $1,332.

Total Amount is formed as General ($1,332) + Research ($0) + Ownership ($0) = $1,332.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Lilly USA, LLC ($301).

Total Amount

$1,332

General + Research + Ownership

Payments

78

Total payment records

General Amount

$1,332

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2012-08-20

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
I20120820001130IInternal MedicineILTBD

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
36415Insertion of needle into vein for collection of blood sample291181$0
99214Established patient office or other outpatient visit, 30-39 minutes257163$0
81002Urinalysis, manual test9074$0
96372Injection of drug or substance under skin or into muscle7511$0
G0008Administration of influenza virus vaccine4040$0
View full utilization report →

Insurance plans in this area (ZIP 63156)

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Provider's Procedures

DR. LAURA ANN CRANDALL (D.O.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEIL90670Pneumococcal vaccine for injection into muscle2222

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: 7618350448View full group profile
NameSpecialtyState
Nurse PractitionerMO
Family PracticeIL
Nurse PractitionerMO
Physician AssistantMO
Internal MedicineMO
Internal MedicineMO

Reviews

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Frequently asked questions

Is DR. LAURA ANN CRANDALL (D.O.) listed with a National Provider Identifier?
Yes — DR. LAURA ANN CRANDALL (D.O.) has NPI 1477767101 on file in the registry.
Is there an active status for DR. LAURA ANN CRANDALL (D.O.)?
For scheduling context, DR. LAURA ANN CRANDALL (D.O.) is shown as active in the registry.
What clinical focus is listed for DR. LAURA ANN CRANDALL (D.O.)?
At a glance, DR. LAURA ANN CRANDALL (D.O.) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Missouri is DR. LAURA ANN CRANDALL (D.O.) registered?
Use Saint Louis, Missouri as the headline location for DR. LAURA ANN CRANDALL (D.O.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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