Active NPI
Michael Justin Duterte, NURSE PRACTITIONER
- Nurse Practitioner
- Plano, TX
National Provider Identifier
1376413369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1221228
- Practice address
- 6200 W Parker Rd
Plano, TX 75093-8185 - Phone
- (972) 981-8000
- NPI assigned
- Nov 6, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1221228 | TX | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 1221228 | TX |
Addresses
Primary practice location
6200 W Parker Rd
Plano, TX 75093-8185
Mailing address
7300 State Highway 121 Ste 300
McKinney, TX 75070-1991
Phone (214) 937-0278
Other practice location 1
7300 State Highway 121 Ste 300
McKinney, TX 75070-1991
Phone (214) 937-0278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260529002630 | TX | Practitioner - Nurse Practitioner | 4880164979 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6200 W Parker Rd
Plano, TX 75093-8185
8440 Walnut Hill LN
Suite 800
Dallas, TX 75231-3825
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1221228 | TX | MD | Nurse Practitioner |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1376413369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 STATE HIGHWAY 121 STE 300",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750701991",
"telephone_number": "214-937-0278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 W PARKER RD",
"city": "PLANO",
"state": "TX",
"postal_code": "750938185",
"telephone_number": "972-981-8000"
}
],
"practiceLocations": [
{
"address_1": "7300 State Highway 121 Ste 300",
"address_purpose": "LOCATION",
"city": "McKinney",
"state": "TX",
"postal_code": "750701991",
"country_code": "US",
"telephone_number": "214-937-0278",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUTERTE",
"first_name": "MICHAEL",
"middle_name": "JUSTIN",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-11-06",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1221228",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "1221228",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.