Individual provider Active NPI

Gina M Risty, MD

  • Surgery Physician
  • Mankato, MN
National Provider Identifier
1679594469
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
49017 Issued in MN
Practice address
1025 Marsh St
Mankato, MN 56001-4752
Phone
(507) 625-4031
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 49017 MN Primary

Addresses

Primary practice location

1025 Marsh St
Mankato, MN 56001-4752

Mailing address

1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031

Other practice location 1

1015 Marsh St
Mankato, MN 56001-4752
Phone (507) 389-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061002000597 MN Practitioner - General Surgery 0941205629 Reassigns benefits to 9 organizations
I20240708004035 SD Practitioner - General Surgery 0941205629 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera MarshallGroup PAC ID 5799695227, 102 clinicians
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

300 S Bruce St
S
Marshall, MN 56258-1934
Phone (507) 532-9661

401 9TH Ave NW
Watertown, SD 57201-1548
Phone (605) 886-9317

4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883

901 4TH St NW
Watertown, SD 57201-1558
Phone (605) 886-8471

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy15
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux14
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49017MNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Region Healthcare Corporation CurrentSince Dec 15, 2024 Accepting new patients
Monument Health Network, Inc. CurrentSince May 17, 2024 Accepting new patients
Mayo Clinic Health System-Fairmont CurrentSince Apr 5, 2022 Accepting new patients
Avera Marshall CurrentSince Nov 1, 2025 Accepting new patients
Alexandria Clinic PA Current Accepting new patients
Sanford Medical Center Surgery CurrentSince Feb 17, 2025 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Aug 1, 2006 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
City of Brookings Current Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Aug 1, 2006 Accepting new patients
West Central Pathology and Laboratory Medicine PA Current Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Douglas County Hospital Current Accepting new patients
Monument Health Network, Inc. Current Accepting new patients
City of Brookings CurrentSince Nov 22, 2024 Accepting new patients
Avera Marshall CurrentSince Nov 1, 2025 Accepting new patients
Lake Region Healthcare Corporation CurrentSince Dec 15, 2024 Accepting new patients
Monument Health Network, Inc. CurrentSince May 17, 2024 Accepting new patients
Sanford Medical Center CurrentSince Feb 17, 2025 Accepting new patients
Avera Queen of Peace Current Accepting new patients
Alomere Health CurrentSince Jan 1, 2026 Accepting new patients
City of Brookings CurrentSince Nov 22, 2024 Accepting new patients
Avera Marshall CurrentSince Nov 1, 2025 Accepting new patients
Alomere Health CurrentSince Jan 1, 2026 Accepting new patients

Locations

111 17th Ave E
Alexandria, MN 56308
Phone (320) 762-1511

610 30th Ave W
Alexandria, MN 56308
Phone (320) 763-2540

800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100

712 S Cascade St
Fergus Falls, MN 56537

1015 Marsh St
Mankato, MN 56001
Phone (507) 385-4700

1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623

300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631

301 2nd St NE
New Prague, MN 56071
Phone (952) 758-4431

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

415 Jefferson St N
Wadena, MN 56482
Phone (218) 631-3510

501 State St N
Waseca, MN 56093
Phone (507) 835-1210

300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/
  • Direct secure messaging: gristy90679@ehrdirect.mayoclinicmsg.org
  • Direct secure messaging: gina.risty@avera.sdhealthlink.net

Organizations & group practices 25

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 25

Hospital & facility affiliations 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1679594469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MARSH ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014752",
            "telephone_number": "507-625-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MARSH ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560014752",
            "telephone_number": "507-625-4031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 Marsh St",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560014752",
            "country_code": "US",
            "telephone_number": "507-389-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISTY",
        "first_name": "GINA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "49017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.