Kevin Carlisle, P.A.
NPI 1669467833 · Surgical Physician Assistant · Tampa, FL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Carlisle, P.A. is a Surgical Physician Assistant provider in Tampa, FL (NPI 1669467833).
Provider details
- NPI number
- 1669467833
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PA1682 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1324 Lakeland Hills BlvdLakeland, FL 33805-4543Phone: (863) 687-1100
Registry dates
- Enumerated
- 2005-09-14
- Last updated
- 2026-03-04
- Certified
- 2026-03-04
Frequently asked questions
- What is Kevin Carlisle's NPI number?
- Kevin Carlisle's National Provider Identifier (NPI) is 1669467833, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Carlisle's specialty?
- Kevin Carlisle is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kevin Carlisle located?
- Kevin Carlisle's practice location on file with NPPES is 12880 Commodity Pl, Tampa, FL 33626-3101.
- What is Kevin Carlisle's phone number?
- The practice phone number listed in the NPPES registry for Kevin Carlisle is (813) 343-5500.
- Does Kevin Carlisle accept Medicare?
- Kevin Carlisle is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Carlisle's NPI active?
- Yes — Kevin Carlisle's NPI (1669467833) is active in the NPPES registry as of the last update on 2026-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.