Active NPI
Zachary Scott Wilson, AGAC-NP
- Acute Care Nurse Practitioner
- Shreveport, LA
National Provider Identifier
1912638271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 226165
- Practice address
- 1453 E Bert Koun Loop Ste 112
Shreveport, LA 71105-6810 - Phone
- (318) 223-5777
- NPI assigned
- Jun 18, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 226165 | LA | Primary |
Addresses
Primary practice location
1453 E Bert Koun Loop Ste 112
Shreveport, LA 71105-6810
Mailing address
1453 E Bert Koun Loop Ste 112
Shreveport, LA 71105-6810
Phone (318) 223-5777
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1453 E Bert Koun Loop
Suite 112
Shreveport, LA 71105-6810
Phone (318) 798-9400
Hospital & facility affiliations
- Christus Shreveport-Bossier Health System
- Minden Medical Center
- Springhill Medical Center
- Sabine Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.08 of 100
- Quality
- 73.94
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 72.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Cardiovascular Specialists | Single Specialty | Current | Accepting new patients |
| Northwest Louisiana Intensivists LLC | Single Specialty | Current | Accepting new patients |
| Ark-la-Tex Cardiology, Apmc | Single Specialty | Current | Accepting new patients |
Locations
1453 E Bert Kouns Industrial Loop
Ste 112
Shreveport, LA 71105
Phone (318) 798-9400
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
Interoperability endpoints
- zachary.wilson.p1@direct.acs.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Cardiovascular Disease Physician
- Shreveport, LA
- NPI 1881127090
Single Specialty
-
- Critical Care Medicine (Internal Medicine) Physician
- Shreveport, LA
- NPI 1497567275
Single Specialty
-
- Internal Medicine Physician
- Bossier City, LA
- NPI 1407637671
-
- Cardiovascular Disease Physician
- Shreveport, LA
- NPI 1497745921
Single Specialty
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Zwolle, LA
- NPI 1497219257
-
- General Acute Care Hospital
- Many, LA
- NPI 1568626273
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1417950106
-
- Rural Acute Care Hospital
- Minden, LA
- NPI 1891873337
-
- General Acute Care Hospital
- Springhill, LA
- NPI 1275506115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655856000000",
"number": "1912638271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1453 E BERT KOUN LOOP STE 112",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711056810",
"telephone_number": "318-223-5777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1453 E BERT KOUN LOOP STE 112",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711056810",
"telephone_number": "318-223-5777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "ZACHARY",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "AGAC-NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-18",
"last_updated": "2022-06-22",
"certification_date": "2022-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": "LA",
"license": "226165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.