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MISS KRYSTAL B CANAVAN PA-C
NPI 1235380601
Physician Assistant - Medical in Beverly, MA

Active since October 03, 2008PECOS EnrolledAccepts Medicare Assignment
50 DODGE ST, BEVERLY, MA 01915(978) 922-2171 Get Directions Write a Review

NPPES record last updated: December 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Krystal B Canavan Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS KRYSTAL B CANAVAN PA-C (NPI 1235380601) is an individual medical provider in Beverly, Massachusetts, licensed in Massachusetts (PA2614) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1235380601
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMISS KRYSTAL B CANAVANCredential: PA-C
Location Address50 DODGE STBeverly, MA 01915-1711
Mailing Address50 Dodge StBeverly, MA 01915-1711 · (978) 922-2171
Phone(978) 922-2171
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 3, 2008
Last NPPES UpdateDecember 22, 2025
NPPES CertifiedDecember 22, 2025
✔ NPI 1235380601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MA · PA2614
50 DODGE ST, Beverly, MA 01915
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Krystal B Canavan Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830256429
PECOS Enrollment IDI20090326000159
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
57 services57 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
17 services17 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
16 services16 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
11 services11 patients

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEENA ELDA TIANO
Nurse Practitioner (Family)
50 DODGE ST
BEVERLY, MA 01915
Essex County (978) 922-2171
URGENT CARE OPERATIONS PC
Clinic/Center (Urgent Care)
50 DODGE ST
BEVERLY, MA 01915
Essex County (978) 922-2171
MICHELLE ARCHIBALD FNP-BC
Nurse Practitioner (Family)
50 DODGE ST
BEVERLY, MA 01915
Essex County (978) 975-0700
LAUREN SHEA APRN
Nurse Practitioner (Family)
50 DODGE ST
BEVERLY, MA 01915
Essex County (978) 922-2171
URGENT CARE OPERATIONS PC
Family Medicine
50 DODGE ST
BEVERLY, MA 01915
Essex County (917) 767-1104
TRICIA ALVES
Nurse Practitioner (Family)
50 DODGE ST
BEVERLY, MA 01915
Essex County (978) 922-2171
LAURA MUNSON
Nurse Practitioner (Family)
50 DODGE ST
BEVERLY, MA 01915
Essex County (978) 992-2171
LAB OPERATIONS, LLC
Clinical Medical Laboratory
50 DODGE ST
BEVERLY, MA 01915
Essex County (917) 767-1104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krystal Canavan's NPI number?

The NPI number for Krystal Canavan is 1235380601. It was assigned to this individual provider in the NPPES registry on October 3, 2008.

Where is Krystal Canavan located?

Krystal Canavan practices at 50 Dodge St, Beverly, MA 01915. The listed phone number is (978) 922-2171.

What is Krystal Canavan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Krystal Canavan enrolled in Medicare?

Yes. Krystal Canavan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Krystal Canavan was last updated on December 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.