MISS KRYSTAL B CANAVAN (PA-C) – Medical Physician Assistant, NPI 1235380601
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,091 PHYSICIAN ASSISTANT in MA
Provider Addresses for MISS KRYSTAL B CANAVAN (PA-C)
50 DODGE ST
BEVERLY, MA 019151711
Phone: (978) 922-2171
Type: Mailing
Carney Hospital, 2100, Dorchester Avenue, Lower Mills, Boston, Suffolk County, Massachusetts, 02124, United States
DORCHESTER CENTER, MA 021245615
Phone: (617) 506-4471
Type: Mailing
100, Highland Street, Milton Center, Milton, Norfolk County, Massachusetts, 02126, United States
SUITE 222
MILTON, MA 021863881
Phone: (617) 696-0660
Type: Location
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: 2009-03-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090326000159 | I | Physician Assistant | MA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 78 | 77 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 34 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 32 | 32 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 26 | 26 | $0 |
| 81002 | Urinalysis, manual test | 23 | 23 | $0 |
Insurance plans in this area (ZIP 01915)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA | |
| Physician Assistant | FL | |
| - | MA | |
| Emergency Medicine | MA | |
| Physician Assistant | NH | |
| Family Practice, Emergency Medicine | MA | |
| Nurse Practitioner | MA | |
| Nurse Practitioner | MA |
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