LAURA GREEN EATON (FNP) – Nurse Practitioner, NPI 1629400064

LAURA GREEN EATON (FNP) is a healthcare provider. based in Daytona beach, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 17719 (TN). The NPI Number for LAURA GREEN EATON (FNP) is 1629400064

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
LAURA GREEN EATON (FNP)
NPI
1629400064
Phone
(423) 239-9737
Address
PO BOX 11827
Enumeration Date
8 August 2013
Last Update Date
15 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4239262358
Graduation Year
2013 (13 years ago)
PAC ID
8921242025
Group Practice PAC ID
1850820374
Professional Enrollment ID
I20130911000286
Address ID
TN376011515JO3209XHWYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for LAURA GREEN EATON (FNP)

  • PO BOX 11827

    DAYTONA BEACH, FL 321201827

    Phone: (423) 239-9737

    Fax: (423) 398-5500

    Type: Mailing

  • 1 MEDICAL PARK BLVD

    BRISTOL, TN 376207430

    Phone: (423) 844-1121

    Type: Location

  • 2717 E OAKLAND AVE

    JOHNSON CITY, TN 376011843

    Phone: (423) 926-2358

    Fax: (423) 926-2680

    Type: Mailing

  • 3210 BRISTOL HWY

    JOHNSON CITY, TN 376011552

    Phone: (423) 926-2358

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 79 Open Payments records for all available years, with a total value of $1,449.

Total Amount is formed as General ($1,449) + Research ($0) + Ownership ($0) = $1,449.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($508).

Total Amount

$1,449

General + Research + Ownership

Payments

79

Total payment records

General Amount

$1,449

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-01-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130911000286INurse PractitionerTNTBD
I20170123001374INurse PractitionerVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes892175$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes295133$0
99316Nursing facility discharge management, more than 30 minutes7370$0
G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi2920$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1515$0
View full utilization report →

Insurance plans in this area (ZIP 32120)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850820374View full group profile
NameSpecialtyState
Nurse PractitionerTN
Internal MedicineIN
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

Where can patients find LAURA GREEN EATON (FNP)'s NPI?
You can confirm LAURA GREEN EATON (FNP) with NPI 1629400064; it appears in the national provider directory.
Is LAURA GREEN EATON (FNP) active in the national directory?
LAURA GREEN EATON (FNP)'s public NPI profile is in an active state.
What field does LAURA GREEN EATON (FNP) work in?
You can think of LAURA GREEN EATON (FNP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for LAURA GREEN EATON (FNP)?
We surface Daytona Beach, Florida for LAURA GREEN EATON (FNP) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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