Individual provider Active NPI

Abel Duque Jr., ACNP

  • Acute Care Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1962915223
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP135773 Issued in TX
Practice address
5080 Powder River LN
El Paso, TX 79938-8286
Phone
(915) 328-2311
NPI assigned
Nov 8, 2017
Last updated
Oct 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP135773 TX Primary
Acute Care Nurse Practitioner 363LA2100X 57501 NM

Addresses

Primary practice location

5080 Powder River LN
El Paso, TX 79938-8286

Mailing address

12201 Red Sun Dr
El Paso, TX 79938-7728
Phone (915) 740-6598

Other practice location 1

125 W Hague Rd Ste 130
El Paso, TX 79902-5814
Phone (915) 206-2150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190226003277 TX Practitioner - Nurse Practitioner 4789923319 Reassigns benefits to 1 organization
I20210721003636 IN Practitioner - Nurse Practitioner 4789923319 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57501NMMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Physicians of Indiana, PC CurrentSince Dec 1, 2022 Accepting new patients
Acute Care Surgical Affiliates of Texas PA CurrentSince Oct 12, 2022 Accepting new patients
Hospital Medicine Services of Tennessee PC CurrentSince Jun 1, 2021 Accepting new patients

Locations

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

1451 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-8500

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

2101 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

3270 Joe Battle Blvd
Ste 360
El Paso, TX 79938
Phone (915) 538-4400

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

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": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1962915223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 RED SUN DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799387728",
            "telephone_number": "915-740-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 POWDER RIVER LN",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799388286",
            "telephone_number": "915-328-2311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 W Hague Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799025814",
            "country_code": "US",
            "telephone_number": "915-206-2150",
            "fax_number": "915-206-2151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUQUE",
        "first_name": "ABEL",
        "name_suffix": "Jr.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-08",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP135773",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NM",
            "license": "57501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.