CANDACE ANNE EASTMAN – Family Nurse Practitioner, NPI 1073382065

CANDACE ANNE EASTMAN is a healthcare provider. based in Austin, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 235403 (AZ). The NPI Number for CANDACE ANNE EASTMAN is 1073382065

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
CANDACE ANNE EASTMAN
NPI
1073382065
Phone
(877) 279-5960
Address
8911 N CAPITAL OF TEXAS HWY STE 110
Enumeration Date
1 January 2024
Last Update Date
4 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7372266700
Graduation Year
2023 (3 years ago)
PAC ID
5698112670
Group Practice PAC ID
6305233461
Professional Enrollment ID
I20240703002551
Address ID
MN554372040MI5123XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:2State licenses:3Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for CANDACE ANNE EASTMAN

  • 8911 N CAPITAL OF TEXAS HWY STE 110

    AUSTIN, TX 787597247

    Phone: (877) 279-5960

    Type: Mailing

  • 3725 HORIZON DR

    BARNUM, MN 557078883

    Phone: (877) 279-5960

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-09-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20240326003254INurse PractitionerAZTBD
I20240703002551INurse PractitionerMNTBD
I20240916003800INurse PractitionerWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78759)

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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: 6305233461View full group profile
NameSpecialtyState
Nurse PractitionerMN
Hospitalist, Internal MedicineIA
Emergency MedicineMN
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerMN
Physician AssistantMN
Nurse PractitionerMN
Nurse PractitionerSD
Nurse PractitionerMN

Reviews

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Frequently asked questions

How is CANDACE ANNE EASTMAN identified in CMS data?
CMS-hosted NPPES data lists CANDACE ANNE EASTMAN with NPI 1073382065.
Can I rely on CANDACE ANNE EASTMAN being an active provider?
As of the registry snapshot, CANDACE ANNE EASTMAN is marked active.
What is CANDACE ANNE EASTMAN's specialty?
The listing groups CANDACE ANNE EASTMAN with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect CANDACE ANNE EASTMAN on a map?
Expect Austin, Texas as a primary anchor for CANDACE ANNE EASTMAN unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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