Individual provider Active NPI

Erica Lyn Eaton, PA-C

  • Medical Physician Assistant
  • Gunnison, CO
National Provider Identifier
1740595354
Registry record updated Sep 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
707 N Iowa St
Gunnison, CO 81230-2229
Phone
(970) 642-8413
Fax
(970) 641-9017
NPI assigned
Aug 9, 2010
Last updated
Sep 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary
Family Medicine Physician 207Q00000X PA.0003011 CO

Addresses

Primary practice location

707 N Iowa St
Gunnison, CO 81230-2229

Mailing address

PO Box 4016
Crested Butte, CO 81224-3700
Phone (970) 642-8413

Other practice location 1

366 Haverly St
Crested Butte, CO 81224-9790
Phone (719) 659-7054

Other practice location 2

4810 S Croatan Hwy Ste 270
Nags Head, NC 27959-8504
Phone (252) 449-5978

Other names 1

  • Mrs. Erica Lyn Smith Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erica.eaton.1@11629.direct.athenahealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20241214000285 NC Practitioner - Physician Assistant 4082800891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2518 S Croatan Hwy
Unit B
Nags Head, NC 27959
Phone (252) 449-7373

4810 S Croatan Hwy
Suite 250
Nags Head, NC 27959
Phone (252) 449-9120

4917 S Croatan Hwy
Suite 1B
Nags Head, NC 27959
Phone (252) 255-0583

4927 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 261-0777

5002 S Croatan Hwy
Nags Head, NC 27959-9045

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
40.82 of 100Reported as group
Quality
9.1
Promoting interoperability
100
Improvement activities
0
Cost
43.64

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: erica.eaton.1@11629.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726963200000",
    "number": "1740595354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4016",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812243700",
            "telephone_number": "970-642-8413",
            "fax_number": "970-641-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N IOWA ST",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302229",
            "telephone_number": "970-642-8413",
            "fax_number": "970-641-9017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "366 Haverly St",
            "address_purpose": "LOCATION",
            "city": "Crested Butte",
            "state": "CO",
            "postal_code": "812249790",
            "country_code": "US",
            "telephone_number": "719-659-7054",
            "fax_number": "720-780-7057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4810 S Croatan Hwy Ste 270",
            "address_purpose": "LOCATION",
            "city": "Nags Head",
            "state": "NC",
            "postal_code": "279598504",
            "country_code": "US",
            "telephone_number": "252-449-5978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EATON",
        "first_name": "ERICA",
        "middle_name": "LYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2024-09-22",
        "certification_date": "2024-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "PA.0003011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erica.eaton.1@11629.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Eric Eaton-Gunnison Valley Family Medicine Clinic in colorado",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD Exchange",
            "address_1": "707 N Iowa St",
            "city": "Gunnison",
            "state": "CO",
            "country_code": "US",
            "postal_code": "812302229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "SMITH",
            "middle_name": "LYN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gunnison, CO

Sources for this page

Verify at the official NPI Registry.