MR. DEREK B EASON AGNP-C
NPI 1063272334
Nurse Practitioner - Primary Care in Tempe, AZ

Q: What is Derek Eason's NPI number?

The NPI number for Derek Eason is 1063272334. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Q: What is Derek Eason's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Derek Eason was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 21, 2024PECOS EnrolledAccepts Medicare Assignment

1492 S MILL AVE STE 212, TEMPE, AZ 85281(480) 410-4128(480) 410-4130 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mr. Derek B Eason Agnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DEREK B EASON AGNP-C (NPI 1063272334) is an individual primary care provider in Tempe, Arizona, licensed in Arizona (305255) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063272334

Entity TypeIndividualMale

Primary Taxonomy363LP2300X

Provider Legal NameMR. DEREK B EASONCredential: AGNP-C

Location Address1492 S MILL AVE STE 212Tempe, AZ 85281-5664

Mailing Address1675 E Morten Ave Unit 1120Phoenix, AZ 85020-4639 · (801) 694-5382

Phone(480) 410-4128

Fax(480) 410-4130

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 21, 2024

Last NPPES UpdateJuly 24, 2026

NPPES CertifiedJuly 24, 2026

✔ NPI 1063272334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in AZ · 305255

1492 S MILL AVE STE 212, Tempe, AZ 85281

Open in Google Maps ↗

Secondary Practice Location 1

Location 13402 N Central AvePhoenix, AZ 85012-2202 · Phone (480) 410-4129 · Fax (480) 410-4130

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Derek B Eason Agnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830538966

PECOS Enrollment IDI20240422002339

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Derek Eason reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Be Well Family Care

Same address

Family

1492 S MILL AVE STE 212
Tempe, AZ 85281

Reassigned Medicare billing, Arizona enrollment
12 clinicians in this Medicare group

NPI 1225660111 (480) 410-4128

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85281 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BE WELL FAMILY CARE

Nurse Practitioner (Family)