DUSTIN ROSS CARLISLE NP-C
NPI 1083467104
Nurse Practitioner - Family in Shreveport, LA

Active since April 09, 2024PECOS EnrolledAccepts Medicare Assignment
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210, SHREVEPORT, LA 71105(318) 212-3858(318) 212-3958 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2024, Apr 12, 2024 (2 updates tracked since 2024).

About Dustin Ross Carlisle Np-c NPPES

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

DUSTIN ROSS CARLISLE NP-C (NPI 1083467104) is an individual family provider in Shreveport, Louisiana, licensed in Louisiana (232197) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1083467104
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDUSTIN ROSS CARLISLECredential: NP-C
Location Address1811 E BERT KOUNS INDUSTRIAL LOOP STE 210Shreveport, LA 71105-5740
Mailing Address1811 E Bert Kouns Industrial Loop Ste 210Shreveport, LA 71105-5740 · (318) 212-3858 · Fax (318) 212-3958
Fax(318) 212-3958
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 9, 2024
Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
NPI 1083467104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in LA · 232197
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210, Shreveport, LA 71105

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dustin Ross Carlisle Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466995600
PECOS Enrollment IDI20240617002191
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

Physician Assistant
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210
SHREVEPORT, LA 71105
Nurse Practitioner
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210
SHREVEPORT, LA 71105
Internal Medicine (Cardiovascular Disease)
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210
SHREVEPORT, LA 71105
Internal Medicine (Cardiovascular Disease)
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210
SHREVEPORT, LA 71105
Internal Medicine (Cardiovascular Disease)
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210
SHREVEPORT, LA 71105
Physician Assistant (Medical)
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210
SHREVEPORT, LA 71105
Internal Medicine (Cardiovascular Disease)
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210
SHREVEPORT, LA 71105
Nurse Practitioner (Acute Care)
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210
SHREVEPORT, LA 71105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dustin Carlisle's NPI number?

The NPI number for Dustin Carlisle is 1083467104. It was assigned to this individual provider in the NPPES registry on April 9, 2024.

Where is Dustin Carlisle located?

Dustin Carlisle practices at 1811 E Bert Kouns Industrial Loop Ste 210, Shreveport, LA 71105. The listed phone number is (318) 212-3858.

What is Dustin Carlisle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dustin Carlisle enrolled in Medicare?

Yes. Dustin Carlisle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dustin Carlisle accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Dustin Carlisle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dustin Carlisle affiliated with any hospitals?

According to CMS data, Dustin Carlisle is affiliated with Willis Knighton Medical Center.

When was this NPI record last updated?

The NPPES record for Dustin Carlisle was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.