Individual provider Active NPI

Megan N Ristich

  • Physician Assistant
  • Lebanon, TN
National Provider Identifier
1871109603
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4885 Issued in TN
Practice address
1035 S Hartmann Dr
Lebanon, TN 37090-4064
Phone
(615) 321-0200
Fax
(615) 443-5488
NPI assigned
Sep 17, 2020
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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 NU
Physician Assistant 363A00000X 4885 TN Primary

Addresses

Primary practice location

1035 S Hartmann Dr
Lebanon, TN 37090-4064

Mailing address

PO Box 306556
Nashville, TN 37230-6556
Phone (615) 329-2294

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20220321001236 TN Practitioner - Physician Assistant 2668867185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Orthopaedic Alliance PAGroup PAC ID 5193625069, 358 clinicians
Elite Sports Medicine and Orthopaedic Center PLCGroup PAC ID 8729009634, 90 clinicians

Practice addresses (Care Compare)

1035 S Hartmann Dr
Lebanon, TN 37090-4064
Phone (615) 443-7374

2004 Hayes St
Suite 200
Nashville, TN 37203-2689
Phone (615) 324-1600

8 City Blvd
Suite 100
Nashville, TN 37209-2558
Phone (615) 329-6600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4885TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA CurrentSince Oct 1, 2025 Accepting new patients
Elite Sports Medicine and Orthopaedic Center, PLC CurrentSince Feb 27, 2023 Accepting new patients
Tennessee Orthopaedic Alliance PA Current Accepting new patients
Elite Sports Medicine and Orthopaedic Center, PLC CurrentSince Feb 27, 2023 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Oct 1, 2025 Accepting new patients
Tennessee Orthopaedic Alliance PA Past Accepting new patients

Locations

1035 S Hartmann Dr
Lebanon, TN 37090
Phone (615) 321-0200

2004 Hayes St
Ste 200
Nashville, TN 37203
Phone (615) 284-2000

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

Interoperability endpoints

  • Direct secure messaging: megan.ristich.p1@direct.toa.nextgenshare.com
  • Direct secure messaging: megan.ristich@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1871109603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306556",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306556",
            "telephone_number": "615-329-2294",
            "fax_number": "615-695-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S HARTMANN DR",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370904064",
            "telephone_number": "615-321-0200",
            "fax_number": "615-443-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISTICH",
        "first_name": "MEGAN",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

Verify at the official NPI Registry.