Krystal B Canavan, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA2614 Issued in MA

Practice address

50 Dodge St
Beverly, MA 01915-1711

Phone

(978) 922-2171

NPI assigned

Oct 3, 2008

Last updated

Dec 22, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care Operations PCGroup PAC ID 6406141217, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Urgent Care Operations PC

  dba AFC Doctors Express Urgent Care

  • Urgent Care Clinic/Center
  • Beverly, MA
  • NPI 1417311309
  Medicare reassignment Care Compare group
• Brockton Hospital, Inc.

  dba Signature Healthcare Brockton Hospital

  • General Acute Care Hospital
  • Brockton, MA
  • NPI 1063431286
  Medicare reassignment NPD
• Coastal Medical Associates

  • Anesthesiology Physician
  • Weymouth, MA
  • NPI 1932175684
  Medicare reassignment
• Massachusetts Express Care PLLC

  • Urgent Care Clinic/Center
  • Weymouth, MA
  • NPI 1952725756
  Medicare reassignment
• Signature Healthcare Medical Group Inc

  dba Signature Medical

  • Internal Medicine Physician
  • Brockton, MA
  • NPI 1508804949
  Medicare reassignment
• South Shore Health Express, Inc

  • Urgent Care Clinic/Center
  • Weymouth, MA
  • NPI 1477044212
  Medicare reassignment
• South Shore Medical Center, Inc.

  • Internal Medicine Physician
  • Norwell, MA
  • NPI 1669411856
  Medicare reassignment
• Brockton Hospital, Inc.

  dba Signature Healthcare Pharmacy - EB

  • Community/Retail Pharmacy
  • East Bridgewater, MA
  • NPI 1033084462
  NPD
• South Shore Health Express, Inc

  • Urgent Care Clinic/Center
  • Braintree, MA
  • NPI 1487203246
  NPD
• South Shore Health Express, Inc

  • Urgent Care Clinic/Center
  • Plymouth, MA
  • NPI 1922591981
  NPD
• Urgent Care Operations PC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • North Andover, MA
  • NPI 1063018497
  NPD
• Urgent Care Operations, PC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Haverhill, MA
  • NPI 1396434049
  NPD

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1235380601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DODGE ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151711",
            "telephone_number": "978-922-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 DODGE ST",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019151711",
            "telephone_number": "978-922-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANAVAN",
        "first_name": "KRYSTAL",
        "middle_name": "B",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-03",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA2614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mare Campbell-York, MSW
• Craig Warren Campbell, LMHC
• Leah McCready Campbell, MSW
• Campos Dental Care PC
• Bernadete M Campos
• Candace Dickinson Counseling Services LLC Candace Dickinson Sole MBR
• Milly Canela, RD
• Marianne T. Cannon, APRN PC
• Jennifer R Canowitz, M.S., CCC/SLP
• Michele Marie Capano, RN CWOCN

• Medical Physician Assistant in Beverly, MA
• Providers in Beverly, MA by specialty
• Medical Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.