MICHAEL WAYNE JR. EATON (F.N.P) – Family Nurse Practitioner, NPI 1336423896

MICHAEL WAYNE JR. EATON (F.N.P) is a healthcare provider. based in San antonio, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials F.N.P. They hold a License No. 648521 (TX). The NPI Number for MICHAEL WAYNE JR. EATON (F.N.P) is 1336423896

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL WAYNE JR. EATON (F.N.P)
NPI
1336423896
Phone
(830) 331-8585
Address
27818 WILD BLOOM
Enumeration Date
3 October 2011
Last Update Date
13 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3257541500519
Graduation Year
2011 (15 years ago)
PAC ID
9931360120
Group Practice PAC ID
6507757812
Professional Enrollment ID
I20120416000318
Address ID
TX795677439WI7571X153X400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MICHAEL WAYNE JR. EATON (F.N.P)

  • 27818 WILD BLOOM

    SAN ANTONIO, TX 782601437

    Phone: (830) 331-8585

    Type: Mailing

  • 1430 S MAIN ST

    SUITE NUMBER 111

    BOERNE, TX 780063332

    Phone: (830) 331-8585

    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: 2012-04-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20120416000318INurse PractitionerTXTBD

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 78260)

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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: 6507757812View full group profile
NameSpecialtyState
Physician AssistantWA
N E U R O L O G YTX
Physician AssistantTX
Nurse PractitionerCA
Physician AssistantWA
Physician AssistantTX
Nurse PractitionerTX
-TX

Reviews

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Frequently asked questions

Does MICHAEL WAYNE JR. EATON (F.N.P) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MICHAEL WAYNE JR. EATON (F.N.P) uses 1336423896.
Does CMS list MICHAEL WAYNE JR. EATON (F.N.P) as active?
Yes — MICHAEL WAYNE JR. EATON (F.N.P) is active in the NPI listing used on this page.
What healthcare role does MICHAEL WAYNE JR. EATON (F.N.P) hold?
Scheduling teams often label MICHAEL WAYNE JR. EATON (F.N.P) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MICHAEL WAYNE JR. EATON (F.N.P)?
MICHAEL WAYNE JR. EATON (F.N.P)'s geographic hint is San Antonio, Texas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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