MAX D DAVIAULT CRNA
NPI 1417055328
Nurse Anesthetist, Certified Registered in Bangor, ME
About Max D Daviault Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAX D DAVIAULT CRNA (NPI 1417055328) is an individual nurse anesthetist, certified registered in Bangor, Maine, licensed in Maine (RNA83307) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and maintains a secondary practice location in Rockport.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Max D Daviault Crna 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.
Medicare Billing Reassignments
5Medicare enrollment records show Max Daviault reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bangor, ME 04401
- Reassigned Medicare billing, Maine enrollment
- 788 clinicians in this Medicare group
Bangor, ME 04401
- Reassigned Medicare billing, Maine enrollment
- 15 clinicians in this Medicare group
Ellsworth, ME 04605
- Reassigned Medicare billing, Maine enrollment
- 174 clinicians in this Medicare group
Belfast, ME 04915
- Reassigned Medicare billing, Maine enrollment
- 3,140 clinicians in this Medicare group
Lincoln, ME 04457
- Reassigned Medicare billing, Maine enrollment
- 36 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northern Light Eastern Maine Medical Center
Acute Care Hospitals · Bangor, MENorthern Light Maine Coast Hospital
Acute Care Hospitals · Ellsworth, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Max Daviault's NPI number?
The NPI number for Max Daviault is 1417055328. It was assigned to this individual provider in the NPPES registry on September 21, 2006.
Where is Max Daviault located?
Max Daviault practices at 307 Husson Ave Apt G, Bangor, ME 04401. The listed phone number is (207) 944-9543.
What is Max Daviault's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Max Daviault enrolled in Medicare?
Yes. Max Daviault 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.
Which organizations bill Medicare for Max Daviault's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Max Daviault reassigns Medicare benefits to 5 organizations: Eastern Maine Medical Center (Bangor, ME), Acadia Medical Arts Anesthesia LLC (Bangor, ME), Maine Coast Regional Health Facilities (Ellsworth, ME), Mainehealth (Belfast, ME) and Penobscot Valley Hospital (Lincoln, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Max Daviault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Max Daviault affiliated with any hospitals?
According to CMS data, Max Daviault is affiliated with Northern Light Eastern Maine Medical Center and Northern Light Maine Coast Hospital.
When was this NPI record last updated?
The NPPES record for Max Daviault was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Max D Daviault, CRNA · NPI 1417055328
Nurse Anesthetist, Certified Registered physician in Bangor, Maine. Individual provider, active in the CMS NPPES registry since September 21, 2006.
## Identity
- **NPI:** 1417055328 (Entity type: Individual)
- **Enumerated:** September 21, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RNA83307 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 307 HUSSON AVE APT G, Bangor, ME 04401-3271
- **Phone:** (207) 944-9543
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Eastern Maine Medical Center (NPI 1790789147, Bangor, ME); Acadia Medical Arts Anesthesia LLC (NPI 1124185376, Bangor, ME); Maine Coast Regional Health Facilities (NPI 1447204763, Ellsworth, ME); Mainehealth (NPI 1265912075, Belfast, ME); Penobscot Valley Hospital (NPI 1093716086, Lincoln, ME) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** June 23, 2025
- **Other identifiers:** Other ME181201 (ME); Other 200051 (ME)
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Source: [NPI Profile](https://npiprofile.com/npi/1417055328) · Data from the CMS NPPES public registry.