Individual provider Active NPI

Tracy B. Ross

  • Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1083495873
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
232136 Issued in LA
Practice address
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone
(318) 626-0000
Fax
(318) 629-4833
NPI assigned
Oct 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 232136 LA Primary

Addresses

Primary practice location

1541 Kings Hwy
Shreveport, LA 71103-4228

Mailing address

1512 W Kirby PL
Shreveport, LA 71103-3822
Phone (318) 626-0177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231204001220 LA Practitioner - Nurse Practitioner 6406204395 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hulin Urgent Care Services LLCGroup PAC ID 6800051285, 135 clinicians

Practice addresses (Care Compare)

9525 Mansfield Rd
Shreveport, LA 71118-4401
Phone (318) 642-0131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
232136LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Express, LLP CurrentSince Dec 1, 2024 Accepting new patients
Council for Advancement of Social Service and Education CurrentSince Sep 16, 2024 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Cross Lake Emergency Group, LLC Nurse Practitioner CurrentSince Jun 30, 2025 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Sep 23, 2025 Accepting new patients
Ochsner Clinic LLC CurrentSince Apr 18, 2024 Accepting new patients
Lsu Health Sciences Center Shreveport Faculty Group Practice CurrentSince Nov 1, 2023 Accepting new patients
Coastal Urgent Care, LLC CurrentSince Sep 23, 2025 Accepting new patients
Rite Med Group of Mo PC CurrentSince May 15, 2025 Accepting new patients
Ochsner Clinic LLC CurrentSince Apr 18, 2024 Accepting new patients
Council for Advancement of Social Service and Education Current Accepting new patients
Council for Advancement of Social Service and Education CurrentSince Sep 16, 2024 Accepting new patients
Healthcare Express, LLP CurrentSince Dec 1, 2024 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Sep 23, 2025 Accepting new patients
Council for Advancement of Social Service and Education Past Accepting new patients

Locations

10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239

5314 Airline Dr
Bossier City, LA 71111
Phone (318) 678-5272

1124 S Burnside Ave
Ste 100A
Gonzales, LA 70737
Phone (225) 644-5503

907 Polk St
Mansfield, LA 71052
Phone (318) 688-3350

2215 Veterans Memorial Blvd
Metairie, LA 70002
Phone (504) 838-3524

1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

1736 Irving Pl
Shreveport, LA 71101
Phone (318) 221-1983

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

2120 Bert Kouns Industrial Loop
Ste K
Shreveport, LA 71118

1641 E 70th St
Ste 300
Shreveport, LA 71105
Phone (318) 626-0037

2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600

8001 Youree Dr
Shreveport, LA 71115
Phone (318) 212-3000

4526 Northport Blvd
Shreveport, LA 71107
Phone (318) 489-4181

3515 Richmond Rd
Texarkana, TX 75503
Phone (903) 831-7270

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1083495873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 W KIRBY PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033822",
            "telephone_number": "318-626-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 KINGS HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-626-0000",
            "fax_number": "318-629-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "TRACY",
        "middle_name": "B.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "232136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.