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

Individual provider Gerontology Nurse Practitioner · NPI 1194353730

Dusty Rae Hane, AGACNP is a Nurse Practitioner in Longview, Texas. Qualified in 2019, 7 years ago. Practices with Associated Clinicians of East Texas, a 106-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2020
Specialties on file
3
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Practice location Partly verified

Some contact details are missing from the federal record.

Diagnostic Clinic Of Longview 2901 N Fourth St
Longview, TX 75605
Phone: (903) 758-1818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence AP145659 (TX)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AP145659 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence AP145659 (TX)

Record details

NPI number1194353730
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorYes
NPI enumeratedMarch 30, 2020
Last updated in NPPESMarch 30, 2020
Certification dateMarch 30, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Associated Clinicians Of East Texas — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Longview