PAUL J BANVILLE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1265421689

PAUL J BANVILLE (CRNA) is a healthcare provider. based in Danvers, Massachusetts. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 129748 (MA). The NPI Number for PAUL J BANVILLE (CRNA) is 1265421689

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
PAUL J BANVILLE (CRNA)
NPI
1265421689
Phone
(978) 646-7088
Address
75 LINDALL ST
Enumeration Date
18 October 2005
Last Update Date
16 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9789224670
Graduation Year
1980 (46 years ago)
PAC ID
2365515343
Group Practice PAC ID
2668732041
Professional Enrollment ID
I20080724000195
Address ID
MA019156196BE900XXCTRX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,311 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MA

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Provider Addresses for PAUL J BANVILLE (CRNA)

  • Recovery Center of America, 75, Lindall Street, Danvers, Essex County, Massachusetts, 01923, United States

    DANVERS, MA 019232121

    Phone: (978) 646-7088

    Fax: (978) 777-1462

    Type: Location

  • 75 Lindall St

    Danvers, MA 019232121

    Phone: (978) 646-7088

    Fax: (978) 777-1462

    Type: Location

  • 85 HERRICK ST

    BEVERLY, MA 019151790

    Phone: (978) 816-3700

    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: 2008-07-24

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
I20080724000195ICertified Registered Nurse Anesthetist (Crna)MATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01923)

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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: 2668732041View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NH
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)RI
Certified Registered Nurse Anesthetist (Crna)MA
A N E S T H E S I O L O G YME
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)ME
Certified Registered Nurse Anesthetist (Crna)ME

Reviews

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Frequently asked questions

What unique ID ties claims to PAUL J BANVILLE (CRNA)?
NPI 1265421689 is assigned to PAUL J BANVILLE (CRNA) under the national enumeration system.
Is PAUL J BANVILLE (CRNA) active in the national directory?
PAUL J BANVILLE (CRNA)'s public NPI profile is in an active state.
What kind of provider is PAUL J BANVILLE (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for PAUL J BANVILLE (CRNA). Clinical services aligned with this taxonomy classification.
Where does public data place PAUL J BANVILLE (CRNA)?
The snapshot lists Danvers, Massachusetts for PAUL J BANVILLE (CRNA); download NPPES for the complete set.
Is PAUL J BANVILLE (CRNA) a real provider?
This page reflects official NPPES data for NPI 1265421689. Always confirm identity and privileges with the practice and licensing boards.

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