Individual provider Active NPI

Candace Renee Eastman, FNP-C

  • Nurse Practitioner
  • Lumberton, TX
National Provider Identifier
1053861872
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP132138 Issued in TX
Practice address
5202 Timberwolf
Lumberton, TX 77657-7545
Phone
(409) 330-0590
NPI assigned
Oct 5, 2016
Last updated
Oct 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP132138 TX Primary

Addresses

Primary practice location

5202 Timberwolf
Lumberton, TX 77657-7545

Mailing address

5202 Timberwolf
Lumberton, TX 77657-7545
Phone (409) 330-0590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20170201001612 TX Practitioner - Nurse Practitioner 7012290828 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jasper Emergency Physicians PLLCGroup PAC ID 9133573983, 58 clinicians
Emrd Ventures, PLLCGroup PAC ID 8123481066, 6 clinicians
Jefferson Emergency Physicians PLLCGroup PAC ID 4880048560, 94 clinicians

Practice addresses (Care Compare)

1275 Marvin Hancock Dr
Jasper, TX 75951-4935
Phone (409) 384-5461

1501 W Church St
Suite 800
Livingston, TX 77351-0056
Phone (936) 327-0191

8801 9TH Ave
Port Arthur, TX 77642-8013
Phone (409) 899-7187

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.92 of 100Reported as group
Quality
71.67
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP132138TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Response Urgent Care CurrentSince Jun 1, 2022 Accepting new patients
Port Arthur Emergency Physicians Nurse Practitioner CurrentSince Dec 21, 2016 Accepting new patients
First Response Urgent Care-Lumberton CurrentSince May 10, 2022 Accepting new patients
Jefferson Emergency Physicians, PLLC Nurse Practitioner CurrentSince Apr 8, 2024 Accepting new patients
Emrd Ventures, PLLC CurrentSince Aug 22, 2025 Accepting new patients
Jasper Emergency Physicians, PLLC Nurse Practitioner CurrentSince Sep 30, 2024 Accepting new patients

Locations

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

22545 State Highway 249
Ste 130
Houston, TX 77070
Phone (281) 779-4220

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

1501 W Church St
Ste 800
Livingston, TX 77351
Phone (936) 327-0191

434 N Lhs Dr
Ste 500
Lumberton, TX 77657
Phone (409) 344-4557

6901 Medical Center Dr
Orange, TX 77630
Phone (281) 417-5003

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

3620 Highway 365
Ste 400
Port Arthur, TX 77642
Phone (409) 344-4557

8801 9th Ave
Port Arthur, TX 77642
Phone (409) 299-3214

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475625600000",
    "number": "1053861872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 TIMBERWOLF",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776577545",
            "telephone_number": "409-330-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 TIMBERWOLF",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776577545",
            "telephone_number": "409-330-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTMAN",
        "first_name": "CANDACE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP132138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, TX

Sources for this page

Verify at the official NPI Registry.