Active NPI
Ciara L Eatmon, NP
- Nurse Practitioner
- Grosse Pointe Farms, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1093284564
- Practice address
- 18700 Mack Ave
Grosse Pointe Farms, MI 48236-2923 - Phone
- (313) 925-3486
- Fax
- (313) 925-3497
- NPI assigned
- Nov 14, 2018
- Last updated
- Nov 15, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP95010333 | CA | |
| Nurse Practitioner | 363L00000X | 1093284564 | MI | Primary |
Addresses
Primary practice location
18700 Mack Ave
Grosse Pointe Farms, MI 48236-2923
Mailing address
19179 McCormick St
Detroit, MI 48224-1017
Phone (313) 605-0095
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ceatmon1@hfhs.org | Henry Ford Health System |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18700 Mack Ave
Grosse Pointe Farms, MI 48236-2923
Phone (313) 925-3486
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.04 of 100
- Quality
- 67.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 52.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95010333 | CA | MD | Nurse Practitioner |
| 1093284564 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln Park Rehabilitation PC | Current | Accepting new patients | |
| Wellstreet Urgent Care of Michigan | Current | Accepting new patients | |
| Flushing Urgent Care PLC | Current | Accepting new patients | |
| Wellstreet Urgent Care of Michigan | Current | Accepting new patients | |
| Wellstreet Urgent Care of Michigan | Past | Accepting new patients |
Locations
6020 W Pierson Rd
Flushing, MI 48433
Phone (810) 407-7989
18700 Mack Ave
Grosse Pointe Farms, MI 48236
Phone (313) 925-3486
3755 Fort St
Lincoln Park, MI 48146
Phone (313) 908-1941
2078 E Big Beaver Rd
Troy, MI 48083
Phone (248) 855-4134
Interoperability endpoints
- ceatmon7572@direct.hfhs.org
Organizations & group practices 5
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.
-
dba Corewell Health Urgent Care
- Urgent Care Clinic/Center
- West Bloomfield, MI
- NPI 1578048096
-
dba Convenient Urgent Care
- Urgent Care Clinic/Center
- Flushing, MI
- NPI 1780930016
-
- Pain Clinic/Center
- Lincoln Park, MI
- NPI 1477191369
-
- Non-Pharmacy Dispensing Site
- Grosse Pointe Farms, MI
- NPI 1801672431
-
- Non-Pharmacy Dispensing Site
- Troy, MI
- NPI 1649952052
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1093284564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19179 MCCORMICK ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482241017",
"telephone_number": "313-605-0095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18700 MACK AVE",
"city": "GROSSE POINTE FARMS",
"state": "MI",
"postal_code": "482362923",
"telephone_number": "313-925-3486",
"fax_number": "313-925-3497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATMON",
"first_name": "CIARA",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-14",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP95010333",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "1093284564",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ceatmon1@hfhs.org",
"affiliation": "Y",
"affiliationName": "Henry Ford Health System",
"address_1": "2799 W Grand Blvd",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "482022608",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grosse Pointe Farms, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.