Destiny Michelle New, - Medicare Nurse Practitioner in Tyler, TX

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Destiny Michelle New, is a medicare enrolled "Nurse Practitioner - Family" in Tyler, Texas. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Oliver Street 5.01(a) Inc and her current practice location is 1367 Dominion Plz, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 618-2326.

Destiny Michelle New is licensed to practice in Texas (license number AP135370) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1528578051.

Contact Information

Destiny Michelle New,
1367 Dominion Plz,
Tyler, TX 75703-1013
(903) 618-2326
Not Available

Map and Direction




Provider's Profile

Full NameDestiny Michelle New
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location1367 Dominion Plz, Tyler, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Destiny Michelle New graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1528578051
  • Provider Enumeration Date: 10/11/2017
  • Last Update Date: 12/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7113285016
  • Enrollment ID: I20171226001064

Medical Identifiers

Medical identifiers for Destiny Michelle New such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528578051NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP135370 (Texas)Primary
363LF0000XNurse Practitioner - Family 819660 (Texas)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oliver Street 5.01(a) Inc0042464125144

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Destiny Michelle New allows following entities to bill medicare on her behalf.
Entity NameCharles R. Gordon., Md, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982717955
PECOS PAC ID: 8729992052
Enrollment ID: O20031206000131
Entity NameOliver Street 5.01(a) Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457695413
PECOS PAC ID: 0042464125
Enrollment ID: O20130128000189
Entity NameAngelina Emergency Medicine Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518397298
PECOS PAC ID: 5395973564
Enrollment ID: O20140115000579
Entity NameDmctx2, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447711007
PECOS PAC ID: 6002149135
Enrollment ID: O20190605000875

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Destiny Michelle New is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Destiny Michelle New,
5310 Harvest Hill Rd Ste 290,
Dallas, TX 75230-5826

Ph: (214) 420-0650		Destiny Michelle New,
1367 Dominion Plz,
Tyler, TX 75703-1013

Ph: (903) 618-2326

Reviews and Comments


Nurse Practitioner Nurses in Tyler, TX

Brandi Dunford, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 910 E Houston St Ste 330, Tyler, TX 75702
Phone: 903-606-7995    
Jacob G Thoele, AGACNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 910 E Houston St Ste 550, Tyler, TX 75702
Phone: 903-606-8718    Fax: 903-606-1218
Abram Ambriz, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701
Phone: 903-595-5514    Fax: 903-262-3715
Anna Elise Fenton, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6210 S Broadway Ave, Tyler, TX 75703
Phone: 903-579-2700    Fax: 903-579-2799
Mary Anne Fitzgerald, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 815 N Broadway Ave, Tyler, TX 75702
Phone: 903-535-0023    Fax: 903-535-0052
Rendall Northcutt, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11937 Us Highway 271, Tyler, TX 75708
Phone: 903-877-7200    Fax: 903-877-5080
Kinsey Henry, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1720 S Beckham Ave, Tyler, TX 75701
Phone: 903-630-6211    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.