Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dustin Ross Carlisle, NP-C

Individual provider Family Nurse Practitioner · NPI 1083467104

Dustin Ross Carlisle, NP-C is a Nurse Practitioner in Shreveport, Louisiana. Qualified in 2023, 3 years ago. Practices with Wk Pierremont Cardiology, a 26-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
3
Licensed in
LA
In the registry since
2024
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

1811 E Bert Kouns Industrial Loop Ste 210
Shreveport, LA 71105-5740
Phone: (318) 212-3858
Fax: (318) 212-3958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 232197 (LA)

Record details

NPI number1083467104
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorYes
NPI enumeratedApril 9, 2024
Last updated in NPPESNovember 5, 2024
Certification dateNovember 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Wk Pierremont Cardiology — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Shreveport