Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Scott David Carlsen, AGANP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1871040501

Mr. Scott David Carlsen, AGANP-BC is a Nurse Practitioner in El Paso, Texas. Qualified in 2016, 10 years ago. Practices with Legacy Heart Care of Fort Worth, LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
10
Licensed in
TX
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

10301 Gateway Blvd W Interventional Radiology
El Paso, TX 79925-7701
Phone: (915) 595-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence AP131945 (TX)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence AP131945 (TX)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AP131945 (TX)

Record details

NPI number1871040501
Entity typeIndividual (Type 1)
GenderMale
Credentials AGANP-BC
Sole proprietorNo
NPI enumeratedSeptember 11, 2016
Last updated in NPPESSeptember 11, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Legacy Heart Care Of Fort Worth, Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in El Paso