Individual provider Active NPI

John Isles Fraser Messier, PA

  • Physician Assistant
  • Shreveport, LA
National Provider Identifier
1699876599
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PAA10402 Issued in LA
Practice address
8001 Youree Dr
Suite 400
Shreveport, LA 71115-2302
Phone
(318) 212-3456
Fax
(318) 212-3885
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PAA10402 LA Primary

Addresses

Primary practice location

8001 Youree Dr
Suite 400
Shreveport, LA 71115-2302

Mailing address

8001 Youree Dr
Suite 400
Shreveport, LA 71115-2302
Phone (318) 212-3456

Other practice location 1

9300 Mansfield Rd
Shreveport, LA 71118-3155
Phone (318) 629-3763

Other practice location 2

2151 Airline Dr Ste 700
Bossier City, LA 71111-3398
Phone (318) 550-2176

Other practice location 3

7045 Youree Dr
Shreveport, LA 71105-5108
Phone (318) 798-3763

Other identifiers 1

IdentifierTypeStateIssuer
1626821MedicaidLA

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
I20070723000709 LA Practitioner - Physician Assistant 8527970300 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Phone (318) 681-4138

7045 Youree Dr
Shreveport, LA 71105-5108
Phone (318) 798-3763

Hospital & facility affiliations

  • Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PAA10402LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Health Shreveport LLC CurrentSince Oct 1, 2018 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 23, 2022 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Jun 1, 2018 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 23, 2022 Accepting new patients
University Health Shreveport LLC Physician Assistant CurrentSince Oct 1, 2018 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Jun 1, 2018 Accepting new patients
Theoria Medical Physician Assistant CurrentSince Apr 10, 2025 Accepting new patients
Trinity Clinic Past Accepting new patients
Complexcare Medical Group Midwest M PLLC Physician Assistant Past Accepting new patients
Tyler Family Circle of Care Past Accepting new patients
North Caddo Medical Center PastSince Jun 23, 2024 Accepting new patients
WK Oil City Medical Clinic PastSince Jun 1, 2007 Accepting new patients
Texas Trail Emergency Physicians LLC Past Accepting new patients

Locations

401 E 20th St
Covington, KY 41014
Phone (859) 283-6600

3876 Turkeyfoot Rd
Erlanger, KY 41018
Phone (502) 525-6511

100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111

2344 Amsterdam Rd
Villa Hills, KY 41017
Phone (859) 341-3981

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

2151 Airline Dr
Ste 700
Bossier City, LA 71111
Phone (318) 550-2176

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

534 15th St
Lake Charles, LA 70601
Phone (337) 439-8338

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

9300 Mansfield Rd
Ste 110
Shreveport, LA 71118
Phone (318) 629-3763

7045 Youree Dr
Shreveport, LA 71105
Phone (318) 681-6890

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1 Saint Mary Pl
Shreveport, LA 71101
Phone (318) 681-4500

1736 Irving Pl
Shreveport, LA 71101
Phone (318) 221-1983

100 Kingston Rd
Sulphur, LA 70663
Phone (318) 446-1667

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/440a8ebc-db01-474a-8d18-2ca626c92c6c/

Organizations & group practices 15

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 15

Hospital & facility affiliations 1

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1699876599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR",
            "address_2": "SUITE 400",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152302",
            "telephone_number": "318-212-3456",
            "fax_number": "318-212-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR",
            "address_2": "SUITE 400",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152302",
            "telephone_number": "318-212-3456",
            "fax_number": "318-212-3885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9300 Mansfield Rd",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711183155",
            "country_code": "US",
            "telephone_number": "318-629-3763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2151 Airline Dr Ste 700",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711113398",
            "country_code": "US",
            "telephone_number": "318-550-2176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7045 Youree Dr",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711055108",
            "country_code": "US",
            "telephone_number": "318-798-3763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESSIER",
        "first_name": "JOHN",
        "middle_name": "ISLES FRASER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PAA10402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1626821",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.