Individual provider Active NPI

Michael Ray Eaton, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Joseph, MO
National Provider Identifier
1962891481
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2015002160 Issued in MO
Practice address
5325 Faraon St
Saint Joseph, MO 64506-3488
Phone
(816) 271-7273
Fax
(816) 271-7376
NPI assigned
Jan 21, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 14-121479-102 KS
Emergency Registered Nurse 163WE0003X 2007033208 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2015002160 MO Primary

Addresses

Primary practice location

5325 Faraon St
Saint Joseph, MO 64506-3488

Mailing address

7001 Blue Ridge Blvd
Raytown, MO 64133-5629
Phone (913) 980-3571

Other practice location 1

7001 Blue Ridge Blvd
Raytown, MO 64133-5629
Phone (913) 980-3571

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
I20150416002322 MO Practitioner - Nurse Practitioner 0749508034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 E 24TH St Unit 2C Office
53 Truman Medical Center Incorporated Behav
Kansas City, MO 64108-2640
Phone (816) 404-3710

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14-121479-102KSMDEmergency Registered Nurse
2007033208MOMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rediscover CurrentSince Mar 2, 2020 Accepting new patients
Rediscover CurrentSince Mar 2, 2020 Accepting new patients
Truman Medical Center, Incorporated Current Accepting new patients

Locations

1000 E 24th St
Unit 2C
Kansas City, MO 64108
Phone (816) 404-3710

2301 Holmes St
Kansas City, MO 64108

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

1555 NE Rice Rd
Bldg B
Lees Summit, MO 64086
Phone (816) 965-1610

1555 NE Rice Rd
Lees Summit, MO 64086
Phone (816) 347-3069

901 NE Independence Ave
Lees Summit, MO 64086
Phone (816) 246-1800

7001 Blue Ridge Blvd
Raytown, MO 64133
Phone (816) 988-2739

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1962891481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 BLUE RIDGE BLVD",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641335629",
            "telephone_number": "913-980-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063488",
            "telephone_number": "816-271-7273",
            "fax_number": "816-271-7376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001 Blue Ridge Blvd",
            "address_purpose": "LOCATION",
            "city": "Raytown",
            "state": "MO",
            "postal_code": "641335629",
            "country_code": "US",
            "telephone_number": "913-980-3571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EATON",
        "first_name": "MICHAEL",
        "middle_name": "RAY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-21",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "KS",
            "license": "14-121479-102",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MO",
            "license": "2007033208",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2015002160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.