BENJAMIN LAYNE EITHUN CRNP
NPI 1902132376
Nurse Practitioner - Pediatrics, Critical Care in Tyler, TX
About Benjamin Layne Eithun Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN LAYNE EITHUN CRNP (NPI 1902132376) is an individual pediatrics, critical care provider in Tyler, Texas, licensed in Texas (1159262) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Benjamin Layne Eithun Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Benjamin Eithun reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Centerville, IA 52544
- Reassigned Medicare billing, Iowa enrollment
- 2,190 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 761 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 1,159 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 5,645 clinicians in this Medicare group
San Francisco, CA 94122
- Reassigned Medicare billing, California enrollment
- 5,544 clinicians in this Medicare group
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 75701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Benjamin Eithun's NPI number?
The NPI number for Benjamin Eithun is 1902132376. It was assigned to this individual provider in the NPPES registry on October 20, 2009.
Where is Benjamin Eithun located?
Benjamin Eithun practices at 800 E Dawson St, Tyler, TX 75701. The listed phone number is (903) 606-5956.
What is Benjamin Eithun's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.
Is Benjamin Eithun enrolled in Medicare?
Yes. Benjamin Eithun is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Benjamin Eithun's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Eithun reassigns Medicare benefits to 5 organizations: State University Of Iowa (Centerville, IA), Ucsf Dept Of Surgery (San Francisco, CA), Ucsf Pediatrics Associates (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Eithun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Eithun accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sanford Health Plan and Wellmark Health Plan of Iowa, Inc. list Benjamin Eithun as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Benjamin Eithun was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.
# Benjamin Layne Eithun, CRNP · NPI 1902132376
Pediatrics, Critical Care physician in Tyler, Texas. Individual provider, active in the CMS NPPES registry since October 20, 2009.
## Identity
- **NPI:** 1902132376 (Entity type: Individual)
- **Enumerated:** October 20, 2009
- **Primary specialty:** Nurse Practitioner - Pediatrics, Critical Care · taxonomy 363LP0222X
- **State license:** 1159262 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 E DAWSON ST, Tyler, TX 75701-2036
- **Phone:** (903) 606-5956
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): State University Of Iowa (NPI 1700835865, Centerville, IA); Ucsf Dept Of Surgery (NPI 1477627537, San Francisco, CA); Ucsf Pediatrics Associates (NPI 1376614016, San Francisco, CA); University Of California San Francisco (NPI 1346329380, San Francisco, CA); Ucsf Medical Group Business Services (NPI 1477624104, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1902132376) · Data from the CMS NPPES public registry.