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

Mrs. Mary Tillman Acosta, WHNP-BC

Individual provider Women's Health Nurse Practitioner · NPI 1356759153

Mrs. Mary Tillman Acosta, WHNP-BC is a Nurse Practitioner in Shreveport, Louisiana. Qualified in 2014, 12 years ago. Practices with Wk Pierremont Womens Clinic, a 3-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
12
Licensed in
LA
In the registry since
2014

Practice location Address checks out

8001 Youree Dr Ste 300
Shreveport, LA 71115-2303
Phone: (318) 212-3800
Fax: (318) 212-3805
Show map & directions

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

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence AP07973 (LA)

Record details

NPI number1356759153
Entity typeIndividual (Type 1)
GenderFemale
Credentials WHNP-BC
Sole proprietorNo
NPI enumeratedJuly 24, 2014
Last updated in NPPESJuly 6, 2021
Certification dateJuly 6, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Wk Pierremont Womens Clinic — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shreveport