Javier Enrique Antique, APRN
NPI 1376400580ActiveIndividual· Nurse Practitioner, Acute Care· Tyler, TX
Nurse Practitioner, Acute Care (APRN) with Etmc Physician Group, Inc., practicing in Tyler, Texas. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1376400580 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | Yes |
| NPI issued | Jan 8, 2026 |
| Last updated in NPPES | Jun 29, 2026 |
| Certified by provider | Jun 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 1230949 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TX) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Etmc Physician Group, Inc.Flint, TX · 381 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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