Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Destiny Michelle New

Individual provider Family Nurse Practitioner · NPI 1528578051

Destiny Michelle New is a Nurse Practitioner in Tyler, Texas. Qualified in 2017, 9 years ago. Practices with Oliver Street 5 01(A) Inc, a 168-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1367 Dominion Plz
Tyler, TX 75703-1013
Phone: (903) 618-2326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP135370 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 819660 (TX)

Record details

NPI number1528578051
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 11, 2017
Last updated in NPPESDecember 6, 2022
Certification dateDecember 6, 2022
Mailing address5310 Harvest Hill Rd Ste 290, Dallas, TX 75230-5826

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Oliver Street 5.01(A) Inc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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