Individual provider Active NPI

Michael Justin Duterte, NURSE PRACTITIONER

  • Nurse Practitioner
  • Plano, TX
National Provider Identifier
1376413369
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1221228 Issued in TX
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

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
1221228TXMDNurse 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

Verify at the official NPI Registry.