Craig Kantack, PA-C
NPI 1699052357 · Medical Physician Assistant · Idaho Falls, ID
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Craig Kantack, PA-C is a Medical Physician Assistant provider in Idaho Falls, ID (NPI 1699052357).
Provider details
- NPI number
- 1699052357
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA-984 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-11-09
- Last updated
- 2023-04-12
- Certified
- 2023-04-12
Frequently asked questions
- What is Craig Kantack's NPI number?
- Craig Kantack's National Provider Identifier (NPI) is 1699052357, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Craig Kantack's specialty?
- Craig Kantack is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Craig Kantack located?
- Craig Kantack's practice location on file with NPPES is 740 S Woodruff Ave, Idaho Falls, ID 83401-5285.
- What is Craig Kantack's phone number?
- The practice phone number listed in the NPPES registry for Craig Kantack is (208) 542-9111.
- Does Craig Kantack accept Medicare?
- Craig Kantack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Craig Kantack's NPI active?
- Yes — Craig Kantack's NPI (1699052357) is active in the NPPES registry as of the last update on 2023-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.