MR. HERBERT VISPERAS BAUTISTA (APRN, AGPCNP) – Primary Care Nurse Practitioner, NPI 1023665791
Primary Care Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. HERBERT VISPERAS BAUTISTA (APRN, AGPCNP)
6901 SNIDER PLZ STE 130
DALLAS, TX 752055649
Phone: (214) 696-8033
Type: Location
5128, Pinewood Drive, Bloomdale, McKinney, Collin County, Texas, 75071, United States
MCKINNEY, TX 750718391
Phone: (214) 491-4097
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 228 Open Payments records for all available years, with a total value of $8,117.
Total Amount is formed as General ($8,117) + Research ($0) + Ownership ($0) = $8,117.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: ViiV Healthcare Company ($1,117).
Total Amount
$8,117
General + Research + Ownership
Payments
228
Total payment records
General Amount
$8,117
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ViiV Healthcare Company | $1,117 |
| Lilly USA, LLC | $739 |
| Amgen Inc. | $654 |
| Abbott Laboratories | $606 |
| Novo Nordisk Inc | $509 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-07-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200706002268 | I | Nurse Practitioner | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Practice | FL | |
| - | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| Internal Medicine | TX |
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