LOUIS CARLISLE PA
NPI 1023020310
Physician Assistant - Surgical in Hollywood, FL

Q: What is Louis Carlisle's NPI number?

The NPI number for Louis Carlisle is 1023020310. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Q: What is Louis Carlisle's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Louis Carlisle was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 13, 2006PECOS Enrolled

1150 N 35TH AVE STE 440, HOLLYWOOD, FL 33021(954) 987-2020(954) 987-2953 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2021, Sep 24, 2020 (2 updates tracked since 2020).

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About Louis Carlisle Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOUIS CARLISLE PA (NPI 1023020310) is an individual surgical provider in Hollywood, Florida, licensed in Florida (PA2315) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023020310

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameLOUIS CARLISLECredential: PA

Location Address1150 N 35TH AVE STE 440Hollywood, FL 33021-5430

Mailing Address2900 Corporate Way, Door DMiramar, FL 33025-3925 · (954) 276-5685 · Fax (954) 985-7074

Phone(954) 987-2020

Fax(954) 987-2953

Sole ProprietorYes

Enumeration DateAugust 13, 2006

Last NPPES UpdateMarch 18, 20212 updates tracked since enumeration

NPPES CertifiedMarch 18, 2021

✔ NPI 1023020310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in FL · PA2315

1150 N 35TH AVE STE 440, Hollywood, FL 33021

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Other Identifiers 1

Medicaid291116700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Louis Carlisle Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLA KATHERINE BURNS NP

Nurse Practitioner (Acute Care)