NPIMap

Individual provider Active NPI

Jamie L Rister, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Alexandria, LA
National Provider Identifier
1770801763
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
301922 Issued in LA
Practice address
3444 Masonic Dr
Alexandria, LA 71301-3615
Phone
(318) 473-9556
Fax
(318) 441-8339
NPI assigned
May 14, 2010
Last updated
Jun 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD2015-0173 NM
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 301922 LA Primary

Addresses

Primary practice location

3444 Masonic Dr
Alexandria, LA 71301-3615

Mailing address

3444 Masonic Dr
Alexandria, LA 71301-3615
Phone (318) 473-9556

Other practice location 1

429 Rocky Bayou Dr
Pineville, LA 71360-8133
Phone (318) 473-9556

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.midstateortho.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160722001386 LA Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 0749426617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
Education
Louisiana State University School of Medicine in Shreveport, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Physical Therapy Services of West Louisiana IncGroup PAC ID 0446388763, 92 clinicians
Mid State Orthopaedic and Sports Medicine Center LLCGroup PAC ID 6204892540, 27 clinicians

Practice addresses (Care Compare)

301 W Fertitta Blvd
Leesville, LA 71446-4665
Phone (337) 238-9931

3444 Masonic Dr
Alexandria, LA 71301-3615
Phone 31844183291329

429 Rocky Bayou Dr
Suite a
Pineville, LA 71360-8133
Phone 31847395561329

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)64
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
301922LAMDSports Medicine (Orthopaedic Surgery) Physician
MD2015-0173NMMDSports Medicine (Orthopaedic Surgery) Physician

Interoperability endpoints

  • Direct secure messaging: jrister@midstateortho.emadirect.md

Organizations & group practices 2

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1770801763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3444 MASONIC DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013615",
            "telephone_number": "318-473-9556",
            "fax_number": "318-441-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3444 MASONIC DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013615",
            "telephone_number": "318-473-9556",
            "fax_number": "318-441-8339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "429 Rocky Bayou Dr",
            "address_purpose": "LOCATION",
            "city": "Pineville",
            "state": "LA",
            "postal_code": "713608133",
            "country_code": "US",
            "telephone_number": "318-473-9556",
            "fax_number": "318-441-8339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISTER",
        "first_name": "JAMIE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-14",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NM",
            "license": "MD2015-0173",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "LA",
            "license": "301922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.midstateortho.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3444 Masonic Dr",
            "city": "Alexandria",
            "state": "LA",
            "country_code": "US",
            "postal_code": "713013615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.