Scott David Carlsen, AGANP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

AP131945 Issued in TX

Practice address

10301 Gateway Blvd W
Interventional Radiology
El Paso, TX 79925-7701

Phone

(915) 595-9000

NPI assigned

Sep 11, 2016

Last updated

Sep 11, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Heart Care of Fort Worth, LLCGroup PAC ID 2860677341, 12 clinicians

Legacy Heartcare of Dallas, LLCGroup PAC ID 6305029653, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Legacy Heart Care of Fort Worth, LLC

  dba Flow Therapy Fort Worth

  • Cardiovascular Disease Physician
  • Fort Worth, TX
  • NPI 1730120908
  Medicare reassignment Care Compare group NPD
• Legacy Heartcare of Dallas, LLC

  dba Flow Therapy

  • Cardiovascular Disease Physician
  • Plano, TX
  • NPI 1144520503
  Medicare reassignment Care Compare group NPD
• El Paso County Hospital District

  dba University Medical Center of EL Paso

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1316936990
  Medicare reassignment NPD
• Legacy Heart Care of Grand Prairie, LLC

  dba Flow Therapy Grand Prairie

  • Cardiovascular Disease Physician
  • Grand Prairie, TX
  • NPI 1174252837
  Medicare reassignment NPD
• Legacy Heart Care of Midtown Austin, LLC

  dba Flow Therapy North Austin

  • Cardiovascular Disease Physician
  • Round Rock, TX
  • NPI 1356869804
  Medicare reassignment NPD
• Legacy Heart Care of North Dallas, LLC

  dba Flow Therapy North Dallas

  • Cardiovascular Disease Physician
  • Dallas, TX
  • NPI 1265150205
  Medicare reassignment NPD
• Legacy Heart Care of San Antonio

  dba Flow Therapy Medical Center

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1285057935
  Medicare reassignment NPD
• Legacy Heart Care of South Austin, LLC

  dba Flow Therapy South Austin

  • Cardiovascular Disease Physician
  • Kyle, TX
  • NPI 1346768892
  Medicare reassignment NPD
• Singleton Associates PA

  • Diagnostic Radiology Physician
  • Shenandoah, TX
  • NPI 1538107875
  Medicare reassignment NPD
• El Paso County Hospital District

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1619747938
  NPD
• Legacy Heart Care of San Antonio

  dba Flow Therapy Live Oak

  • Cardiovascular Disease Physician
  • Live Oak, TX
  • NPI 1316617426
  NPD
• Legacy Heartcare of Dallas, LLC

  dba Flow Therapy McKinney

  • Cardiovascular Disease Physician
  • McKinney, TX
  • NPI 1275215808
  NPD

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

{
    "created_epoch": "1473552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473552000000",
    "number": "1871040501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 E BELL RD",
            "address_2": "SUITE 5500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322105",
            "telephone_number": "866-891-1336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 GATEWAY BLVD W",
            "address_2": "INTERVENTIONAL RADIOLOGY",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257701",
            "telephone_number": "915-595-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSEN",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "AGANP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-11",
        "last_updated": "2016-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP131945",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP131945",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP131945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos H. Loubriel M.D., P.a.
• Carlos Miranda MD PA
• Carlos R Cesar ,MD., P.a. (Ear,Nose and Throat Clinic)
• Danelle Carlos, LCDC, LPC
• Elena Carlos
• Joseph Andrew Carlson, LPC, LPCC
• Staci L Carlson
• Carmela P Morales MD PA
• Carmen P Arango MD PA (Arango Imaging Center)
• Carmen P Arango MD PA

• Acute Care Nurse Practitioner in El Paso, TX
• Providers in El Paso, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.