Earlene F Banville, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

052873-23-11 Issued in NH

Practice address

One Parkland Drive
Derry, NH 03038

Phone

(603) 421-2163

Fax

(978) 946-8206

NPI assigned

May 19, 2006

Last updated

Dec 3, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ivs Anesthesia LLCGroup PAC ID 9537233010, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.85 of 100Reported as group

Quality

77.71

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ivs Anesthesia, LLC

  • Anesthesiology Physician
  • Andover, MA
  • NPI 1740440163
  Medicare reassignment Care Compare group NPD
• Anesthesia Associates of New England PC

  • Anesthesiology Physician
  • Derry, NH
  • NPI 1861950651
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1184677130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1849",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042411849",
            "telephone_number": "207-784-2554",
            "fax_number": "207-777-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE PARKLAND DRIVE",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "03038",
            "telephone_number": "603-421-2163",
            "fax_number": "978-946-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANVILLE",
        "first_name": "EARLENE",
        "middle_name": "F",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "123030",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "052873-23-11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Baker
• Christina Elizabeth Baldiga, PMHNP-BC
• Carol A Baldwin, PTA
• Alphonse J Baluta Jr., MD
• Charles Banister, DMD
• Amanda Barrett, MS OTR/L
• Holly Barros, BCBA
• Baymark Health
• Hannarose Beaudette, FNP
• Kevin Beaudoin

• Certified Registered Nurse Anesthetist in Derry, NH
• Providers in Derry, NH by specialty
• Certified Registered Nurse Anesthetist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.