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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAVIER ENRIQUE ANTIQUE APRN
NPI 1376400580
Nurse Practitioner - Acute Care in Tyler, TX

Active since January 08, 2026PECOS Enrolled
1000 S BECKHAM AVE, TYLER, TX 75701(903) 595-6680(903) 592-1934 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 14, 2026, Jan 8, 2026 (2 updates tracked since 2026).

About Javier Enrique Antique Aprn NPPES

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

JAVIER ENRIQUE ANTIQUE APRN (NPI 1376400580) is an individual acute care provider in Tyler, Texas, licensed in Texas (1230949) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tyler.

NPPES Registry Identity

NPI1376400580
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJAVIER ENRIQUE ANTIQUECredential: APRN
Location Address1000 S BECKHAM AVETyler, TX 75701-1908
Mailing Address1000 S Beckham AveTyler, TX 75701-1908 · (903) 595-6680 · Fax (903) 592-1934
Phone(903) 595-6680
Fax(903) 592-1934
Sole ProprietorYes
Enumeration DateJanuary 8, 2026
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1376400580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · 1230949
1000 S BECKHAM AVE, Tyler, TX 75701
Open in Google Maps ↗

Secondary Practice Location 1

Location 11020 E Idel StTyler, TX 75701-2024 · Phone (903) 535-2902 · Fax (903) 535-9217

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Javier Enrique Antique Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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 20

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

MUHAMMAD KAFEEL SARWAR M.D.
Internal Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 590-5611
JOHN GLYNN JEANSONNE CRNA
Nurse Anesthetist, Certified Registered
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 526-1068
MAHIDER GEDAMU
Nurse Practitioner (Acute Care)
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 597-0351
ARAMISH SAEED KHAN
Student in an Organized Health Care Education/Training Program
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 594-2269
DR. FARZAD FAKOURI M.D. , MPH
Internal Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 590-5611
ARNULFO DUARTE DO
Internal Medicine
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 590-5611
HAROLD RICHIE BANDALAN CRNA
Nurse Anesthetist, Certified Registered
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 526-1068
TYLER REGIONAL HOSPITAL LLC
Surgery (Trauma Surgery)
1000 S BECKHAM AVE
TYLER, TX 75701
Smith County (903) 597-0351

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 Javier Antique's NPI number?

The NPI number for Javier Antique is 1376400580. It was assigned to this individual provider in the NPPES registry on January 8, 2026.

Where is Javier Antique located?

Javier Antique practices at 1000 S Beckham Ave, Tyler, TX 75701. The listed phone number is (903) 595-6680.

What is Javier Antique's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Javier Antique enrolled in Medicare?

Yes. Javier Antique is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Javier Antique was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.