Individual provider Active NPI

Asty Carlette Duversonne

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1861165995
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN1171274 Issued in TX
Practice address
6317 Harris Pkwy Ste 450
Fort Worth, TX 76132-4256
Phone
(817) 985-7772
NPI assigned
Jul 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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 APRN1171274 TX Primary

Addresses

Primary practice location

6317 Harris Pkwy Ste 450
Fort Worth, TX 76132-4256

Mailing address

9361 Lone Maverick Dr
Crowley, TX 76036-2190

Other names 1

  • Asty Merus Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address am2363@mynsu.nova.edu

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
I20260219000550 TX Practitioner - Nurse Practitioner 9537649355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strategic Medical Group TX PLLCGroup PAC ID 1355707423, 26 clinicians

Practice addresses (Care Compare)

4400 Oak Park LN
Fort Worth, TX 76109-9534
Phone (817) 985-7772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN1171274TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Strategic Medical Group TX PLLC CurrentSince Jan 12, 2026 Accepting new patients
Strategic Medical Group TX PLLC Past Accepting new patients

Locations

3920 W Wheatland Rd
Ste 152
Dallas, TX 75237
Phone (214) 467-0432

6100 Harris Pkwy
Ste 1240
Fort Worth, TX 76132
Phone (817) 433-5155

6317 Harris Pkwy
Ste 450
Fort Worth, TX 76132

4400 Oak Park Ln
Ft Worth, TX 76109
Phone (817) 207-9600

Organizations & group practices 2

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": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1861165995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9361 LONE MAVERICK DR",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760362190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6317 HARRIS PKWY STE 450",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324256",
            "telephone_number": "817-985-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVERSONNE",
        "first_name": "ASTY",
        "middle_name": "CARLETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "APRN1171274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "am2363@mynsu.nova.edu",
            "affiliation": "N",
            "address_1": "2735 SW 8th St Apt 2",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333122142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASTY",
            "last_name": "MERUS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.