MARIAH EASTMAN (PA) – Physician Assistant, NPI 1730858473

MARIAH EASTMAN (PA) is a healthcare provider. based in Lynchburg, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for MARIAH EASTMAN (PA) is 1730858473

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MARIAH EASTMAN (PA)
NPI
1730858473
Phone
(434) 316-5000
Address
1600 LAKESIDE DR
Enumeration Date
7 September 2021
Last Update Date
7 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
7113311911
Group Practice PAC ID
8022926468
Professional Enrollment ID
I20240125003094
Address ID
SD572622398SI205XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in VA

Provider Addresses for MARIAH EASTMAN (PA)

  • 1600 LAKESIDE DR

    LYNCHBURG, VA 245013116

    Phone: (434) 316-5000

    Type: Mailing

  • 205 ORCHARD DR

    SISSETON, SD 57262

    Phone: (605) 698-7647

    Fax: (605) 698-3493

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $214.

Total Amount is formed as General ($214) + Research ($0) + Ownership ($0) = $214.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Amgen Inc. ($81).

Total Amount

$214

General + Research + Ownership

Payments

12

Total payment records

General Amount

$214

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-01-25

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
I20240125003094IPhysician AssistantSDTBD

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 24501)

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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: 8022926468View full group profile
NameSpecialtyState
-SD
-MN
Certified Registered Nurse Anesthetist (Crna)ND
Nurse PractitionerSD
Nurse PractitionerTX
General Practice, Family PracticeSD
Family PracticeSD
Physician AssistantSD
Nurse PractitionerSD
-SD

Reviews

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Frequently asked questions

What federal number belongs to MARIAH EASTMAN (PA)?
The federal identifier for MARIAH EASTMAN (PA) is NPI 1730858473.
Is MARIAH EASTMAN (PA) currently active in the NPI registry?
CMS-published data lists MARIAH EASTMAN (PA) as an active registrant.
Does MARIAH EASTMAN (PA) list a primary specialty?
If you are matching referrals, note Physician Assistant for MARIAH EASTMAN (PA). Clinical services aligned with this taxonomy classification.
Does MARIAH EASTMAN (PA) practice in Virginia?
You will see Lynchburg, Virginia on file for MARIAH EASTMAN (PA) alongside any extra practice locations.
How can I contact MARIAH EASTMAN (PA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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