DUSTIN ROSS CARLISLE NP-C
NPI 1083467104
Nurse Practitioner - Family in Shreveport, LA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Dustin Carlisle reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Shreveport, LA 71105
- Reassigned Medicare billing, Louisiana enrollment
- 30 clinicians in this Medicare group
Shreveport, LA 71101
- Reassigned Medicare billing, Louisiana enrollment
- 27 clinicians in this Medicare group
Shreveport, LA 71103
- Reassigned Medicare billing, Louisiana enrollment
- 104 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, LAPhysician 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.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHREVEPORT, LA 71105
SHREVEPORT, LA 71105
SHREVEPORT, LA 71105
SHREVEPORT, LA 71105
SHREVEPORT, LA 71105
SHREVEPORT, LA 71105
SHREVEPORT, LA 71105
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.
Which organizations bill Medicare for Dustin Carlisle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dustin Carlisle reassigns Medicare benefits to 3 organizations: Wk Pierremont Cardiology (Shreveport, LA), Northwest Louisiana Nephrology, LLC (Shreveport, LA) and Cross Lake Emergency Group, LLC (Shreveport, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dustin Carlisle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dustin Carlisle accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana 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 23 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.
# Dustin Ross Carlisle, NP-C · NPI 1083467104
Family physician in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since April 9, 2024.
## Identity
- **NPI:** 1083467104 (Entity type: Individual)
- **Enumerated:** April 9, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 232197 (Louisiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1811 E BERT KOUNS INDUSTRIAL LOOP STE 210, Shreveport, LA 71105-5740
- **Phone:** (318) 212-3858 · **Fax:** (318) 212-3958
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Wk Pierremont Cardiology (NPI 1235523002, Shreveport, LA); Northwest Louisiana Nephrology, LLC (NPI 1669416491, Shreveport, LA); Cross Lake Emergency Group, LLC (NPI 1013497114, Shreveport, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 5, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1083467104) · Data from the CMS NPPES public registry.