Individual provider Active NPI

Alisa Dust Hamner, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Baton Rouge, LA
National Provider Identifier
1366751422
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.200382 Issued in LA
Practice address
7301 Hennessy Blvd
#200
Baton Rouge, LA 70808
Phone
(225) 766-0050
Fax
(225) 766-1499
NPI assigned
Oct 6, 2010
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.200382 LA Primary
Medical Physician Assistant 363AM0700X PA.200382 LA

Addresses

Primary practice location

7301 Hennessy Blvd
#200
Baton Rouge, LA 70808

Mailing address

PO Box 98035
Baton Rouge, LA 70898
Phone (225) 766-0050

Other practice location 1

10310 The Grove Blvd
Baton Rouge, LA 70836-6455
Phone (225) 761-5200

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
I20101202000216 LA Practitioner - Physician Assistant 5496941445 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuromedical CenterGroup PAC ID 6103716477, 114 clinicians
Baton Rouge Radiology Group IncGroup PAC ID 8729076229, 39 clinicians

Practice addresses (Care Compare)

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 765-6565

5422 Dijon Dr
Baton Rouge, LA 70808-4315
Phone (225) 769-9337

7520 Perkins Rd
Suite 290
Baton Rouge, LA 70808-9130
Phone (225) 769-6700

8080 Bluebonnet Blvd
Baton Rouge, LA 70810-7827
Phone (225) 408-8080

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.200382LAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Nov 30, 2023 Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Nov 15, 2025 Accepting new patients
Baton Rouge Clinic, a Medical Corporation CurrentSince Jun 20, 2025 Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Nov 15, 2025 Accepting new patients
Ochsner Clinic LLC CurrentSince Nov 30, 2023 Accepting new patients
Baton Rouge Clinic, a Medical Corporation CurrentSince Jun 20, 2025 Accepting new patients

Locations

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

7373 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 246-9790

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

8595 Picardy Ave
Ste 320
Baton Rouge, LA 70809
Phone (225) 237-1880

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

Interoperability endpoints

  • Direct secure messaging: ahamner507435@direct.ochsner.org
  • Direct secure messaging: alisa.hamner.1@25776.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1366751422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98035",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70898",
            "telephone_number": "225-766-0050",
            "fax_number": "225-766-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 HENNESSY BLVD",
            "address_2": "#200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70808",
            "telephone_number": "225-766-0050",
            "fax_number": "225-766-1499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10310 The Grove Blvd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708366455",
            "country_code": "US",
            "telephone_number": "225-761-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMNER",
        "first_name": "ALISA",
        "middle_name": "DUST",
        "name_prefix": "Ms.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200382",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "PA.200382",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.