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GILBERTO DUARTE APRN, FNP-C
NPI 1306522297
Nurse Practitioner in Laredo, TX

Active since June 26, 2023PECOS Enrolled
3507 JAIME ZAPATA MEMORIAL HWY STE 5, LAREDO, TX 78043(956) 726-9252 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gilberto Duarte Aprn, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GILBERTO DUARTE APRN, FNP-C (NPI 1306522297) is an individual nurse practitioner in Laredo, Texas, licensed in Texas (1112540) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306522297
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameGILBERTO DUARTECredential: APRN, FNP-C
Location Address3507 JAIME ZAPATA MEMORIAL HWY STE 5Laredo, TX 78043-4770
Mailing Address9107 Glacier Ct.Laredo, TX 78045 · (956) 206-8955
Phone(956) 726-9252
Sole ProprietorNo
Enumeration DateJune 26, 2023
Last NPPES UpdateAugust 14, 2023
NPPES CertifiedAugust 14, 2023
✔ NPI 1306522297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · 1112540
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3507 JAIME ZAPATA MEMORIAL HWY STE 5, Laredo, TX 78043
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gilberto Duarte Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Gilberto Duarte reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Border Clinic PLLC
5.6 mi
Family Medicine
1310 TREY DR
Laredo, TX 78041
  • Reassigned Medicare billing, Texas enrollment
  • 8 clinicians in this Medicare group
NPI 1760766257 (956) 727-3047
Doc-Aid Scribe Services, Inc
8.1 mi
Urgent Care
2438 MONARCH DR STE A-375
Laredo, TX 78045
  • Reassigned Medicare billing, Texas enrollment
  • 18 clinicians in this Medicare group
NPI 1275937641 (922) 565-2309

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JESUS OSVALDO RAMIREZ II FNP-BC
Nurse Practitioner (Family)
3507 JAIME ZAPATA MEMORIAL HWY STE 5
LAREDO, TX 78043
Webb County (956) 726-9252
DR. FRANCISCO JAVIER CERVANTES M.D.
Pediatrics
3507 JAIME ZAPATA MEMORIAL HWY STE 5
LAREDO, TX 78043
Webb County (956) 726-9252
ARCENIO COREAS FNP
Nurse Practitioner (Family)
3507 JAIME ZAPATA MEMORIAL HWY STE 5
LAREDO, TX 78043
Webb County (956) 726-9252
GEISLA ZAYAS SANTIAGO MD
Pediatrics
3507 JAIME ZAPATA MEMORIAL HWY STE 5
LAREDO, TX 78043
Webb County (956) 726-9252
ALEXIS KALEIHIILANI VILLA
Nurse Practitioner (Family)
3507 JAIME ZAPATA MEMORIAL HWY STE 5
LAREDO, TX 78043
Webb County (956) 726-9252

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gilberto Duarte's NPI number?

The NPI number for Gilberto Duarte is 1306522297. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Where is Gilberto Duarte located?

Gilberto Duarte practices at 3507 Jaime Zapata Memorial Hwy Ste 5, Laredo, TX 78043. The listed phone number is (956) 726-9252.

What is Gilberto Duarte's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Gilberto Duarte enrolled in Medicare?

Yes. Gilberto Duarte is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Gilberto Duarte's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gilberto Duarte reassigns Medicare benefits to 2 organizations: Border Clinic PLLC (Laredo, TX) and Doc-Aid Scribe Services, Inc (Laredo, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gilberto Duarte's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gilberto Duarte accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Gilberto Duarte as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gilberto Duarte was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.