Individual provider Active NPI

Cecilia Bustos Duarte, APRN

  • Family Nurse Practitioner
  • Reno, NV
National Provider Identifier
1336984558
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
880411 Issued in NV
Practice address
1905 E 4TH St
Reno, NV 89512-3789
Phone
(775) 786-4673
NPI assigned
Jun 28, 2024
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 880411 NV Primary

Addresses

Primary practice location

1905 E 4TH St
Reno, NV 89512-3789

Mailing address

1905 E 4TH St
Reno, NV 89512-3789
Phone (775) 786-4673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241016000258 NV Practitioner - Nurse Practitioner 5890227805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

580 W 5TH St
Reno, NV 89503-4407
Phone (775) 786-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Nevada HIV Outpatient Program, Education and Services CurrentSince Jul 28, 2024 Accepting new patients
Northern Nevada HIV Outpatient Program, Education and Services CurrentSince Jul 28, 2024 Accepting new patients
Northern Nevada HIV Outpatient Program, Education and Services Past Accepting new patients

Locations

580 W 5th St
Reno, NV 89503
Phone (775) 786-4673

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1336984558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 E 4TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895123789",
            "telephone_number": "775-786-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 E 4TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895123789",
            "telephone_number": "775-786-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTOS DUARTE",
        "first_name": "CECILIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "880411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.