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

Mr. Zachary Scott Wilson, AGAC-NP

Individual provider Acute Care Nurse Practitioner · NPI 1912638271

Mr. Zachary Scott Wilson, AGAC-NP is a Nurse Practitioner in Shreveport, Louisiana. Qualified in 2022, 4 years ago. Practices with Advanced Cardiovascular Specialists, a 21-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
4
Licensed in
LA
In the registry since
2022

Practice location Address checks out

1453 E Bert Koun Loop Ste 112
Shreveport, LA 71105-6810
Phone: (318) 223-5777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 226165 (LA)

Record details

NPI number1912638271
Entity typeIndividual (Type 1)
GenderMale
Credentials AGAC-NP
Sole proprietorYes
NPI enumeratedJune 18, 2022
Last updated in NPPESJune 22, 2022
Certification dateJune 22, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Advanced Cardiovascular Specialists — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shreveport