Individual provider Active NPI

Casey Eaton, FNP-BC

  • Family Nurse Practitioner
  • Mineral Point, MO
National Provider Identifier
1922542943
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016037957 Issued in MO
Practice address
10273 Otto Rd
Mineral Point, MO 63660-9312
Phone
(573) 366-4851
NPI assigned
Dec 9, 2016
Last updated
Dec 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2016037957 MO Primary

Addresses

Primary practice location

10273 Otto Rd
Mineral Point, MO 63660-9312

Mailing address

10273 Otto Rd
Mineral Point, MO 63660-9312
Phone (573) 366-4851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20161221000414 MO Practitioner - Nurse Practitioner 0840571345 Reassigns benefits to 1 organization

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
Great Mines Health CenterGroup PAC ID 3072598143, 19 clinicians

Practice addresses (Care Compare)

1 Southtowne Dr
Potosi, MO 63664-5729
Phone (573) 438-9355

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Great Mines Health Center CurrentSince Jul 11, 2017 Accepting new patients
Great Mines Health Center CurrentSince Jul 11, 2017 Accepting new patients

Locations

103 Murphy Ave
Farmington, MO 63640
Phone (573) 701-1350

1040 Forster St
Farmington, MO 63640
Phone (573) 701-1340

209 W College St
Farmington, MO 63640
Phone (573) 701-1370

506 S Fleming St
Farmington, MO 63640

708 S Fleming St
Farmington, MO 63640
Phone (573) 701-1340

9 Summit Dr
Farmington, MO 63640
Phone (573) 701-1360

116 Rebel Dr
Ste 201
Park Hills, MO 63601

403 W Fite St
Ste 201
Park Hills, MO 63601

768 Highway M
Ste 113
Park Hills, MO 63601

801 Columbia St
Ste 216
Park Hills, MO 63601

900 Saint Francois Ave
Ste A9
Park Hills, MO 63601

1 Southtowne Dr
Potosi, MO 63664
Phone (573) 438-8401

Interoperability endpoints

  • Direct secure messaging: casey.eaton@gmhc.eclinicaldirectplus.com

Organizations & group practices 2

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": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1922542943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10273 OTTO RD",
            "city": "MINERAL POINT",
            "state": "MO",
            "postal_code": "636609312",
            "telephone_number": "573-366-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10273 OTTO RD",
            "city": "MINERAL POINT",
            "state": "MO",
            "postal_code": "636609312",
            "telephone_number": "573-366-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "CASEY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-09",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016037957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Point, MO

Sources for this page

Verify at the official NPI Registry.