ASTY CARLETTE DUVERSONNE
NPI 1861165995
Nurse Practitioner - Family in Fort Worth, TX

Active since July 26, 2021PECOS EnrolledAccepts Medicare Assignment
4400 OAK PARK LN, FORT WORTH, TX 76109(817) 985-7772 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 14, 2026, Jul 26, 2021 (2 updates tracked since 2021).

About Asty Carlette Duversonne NPPES

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

ASTY CARLETTE DUVERSONNE (NPI 1861165995) is an individual family provider in Fort Worth, Texas, licensed in Texas (APRN1171274) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1861165995
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameASTY CARLETTE DUVERSONNE
Location Address4400 OAK PARK LNFort Worth, TX 76109-9534
Mailing Address2735 Sw 8th St Apt 2Fort Lauderdale, FL 33312-2142
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 26, 2021
Last NPPES UpdateJanuary 14, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
NPI 1861165995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · APRN1171274
4400 OAK PARK LN, Fort Worth, TX 76109

Other Names 1

Former Name (1)Asty Merus

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Asty Carlette Duversonne is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537649355
PECOS Enrollment IDI20260219000550
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 76109 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 10

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

Clinic/Center (Sleep Disorder Diagnostic)
4400 OAK PARK LN
FORT WORTH, TX 76109
Speech-Language Pathologist
4400 OAK PARK LN
FORT WORTH, TX 76109
Behavior Analyst
4400 OAK PARK LN
FORT WORTH, TX 76109
Occupational Therapist
4400 OAK PARK LN
FORT WORTH, TX 76109
Clinic/Center (Primary Care)
4400 OAK PARK LN
FORT WORTH, TX 76109
Internal Medicine
4400 OAK PARK LN
FORT WORTH, TX 76109
Nurse Practitioner
4400 OAK PARK LN
FORT WORTH, TX 76109
Internal Medicine
4400 OAK PARK LN
FORT WORTH, TX 76109

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 Asty Duversonne's NPI number?

The NPI number for Asty Duversonne is 1861165995. It was assigned to this individual provider in the NPPES registry on July 26, 2021. The provider is also known as Asty Merus.

Where is Asty Duversonne located?

Asty Duversonne practices at 4400 Oak Park Ln, Fort Worth, TX 76109. The listed phone number is (817) 985-7772.

What is Asty Duversonne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Asty Duversonne enrolled in Medicare?

Yes. Asty Duversonne is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Asty Duversonne was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.