Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Paul J Banville, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1265421689

Paul J Banville, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Beverly, Massachusetts. Qualified in 1980, 46 years ago. Practices with Icon Anesthesia Services of New England LLC, a 35-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
46
Licensed in
MA
In the registry since
2005
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

85 Herrick St
Beverly, MA 01915-1790
Phone: (978) 816-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 75 Lindall St, Danvers, MA 01923-2121 — (978) 646-7088

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN137552 (MA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 129748 (MA)

Record details

NPI number1265421689
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 18, 2005
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Icon Anesthesia Services Of New England Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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