MRS. STACEY ANN RYDER CRNA
NPI 1013256809
Nurse Anesthetist, Certified Registered in Kingsport, TN
About Mrs. Stacey Ann Ryder Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. STACEY ANN RYDER CRNA (NPI 1013256809) is an individual nurse anesthetist, certified registered in Kingsport, Tennessee, licensed in Tennessee (0) and active in the NPI registry since February 2013. She is affiliated with Wellmont Holston Valley Medical Center and is a graduate of Lincoln Memorial University Medical Department (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Stacey Ann Ryder Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Stacey Ryder reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kingsport, TN 37660
- Reassigned Medicare billing, Tennessee enrollment
- 861 clinicians in this Medicare group
Kingsport, TN 37663
- Reassigned Medicare billing, Tennessee enrollment
- 294 clinicians in this Medicare group
Knoxville, TN 37916
- Reassigned Medicare billing, Tennessee enrollment
- Medicare enrollment name: American Anesthesiology Of Tennessee PC
- 959 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellmont Holston Valley Medical Center
Acute Care Hospitals · Kingsport, TNIndian Path Community Hospital
Acute Care Hospitals · Kingsport, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KINGSPORT, TN 37660
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stacey Ryder's NPI number?
The NPI number for Stacey Ryder is 1013256809. It was assigned to this individual provider in the NPPES registry on February 13, 2013.
Where is Stacey Ryder located?
Stacey Ryder practices at 130 W Ravine Rd, Kingsport, TN 37660. The listed phone number is (423) 224-4000.
What is Stacey Ryder's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Stacey Ryder enrolled in Medicare?
Yes. Stacey Ryder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Stacey Ryder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Ryder reassigns Medicare benefits to 3 organizations: Wellmont Medical Associates, Inc. (Kingsport, TN), Paragon Anesthesia PC (Kingsport, TN) and American Anesthesiology Of Tennessee, P.C. (Knoxville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Ryder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Stacey Ryder affiliated with any hospitals?
According to CMS data, Stacey Ryder is affiliated with Wellmont Holston Valley Medical Center and Indian Path Community Hospital.
When was this NPI record last updated?
The NPPES record for Stacey Ryder was last updated on February 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Stacey Ann Ryder, CRNA · NPI 1013256809
Nurse Anesthetist, Certified Registered physician in Kingsport, Tennessee. Individual provider, active in the CMS NPPES registry since February 13, 2013.
## Identity
- **NPI:** 1013256809 (Entity type: Individual)
- **Enumerated:** February 13, 2013
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 0 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 130 W RAVINE RD, Kingsport, TN 37660-3837
- **Phone:** (423) 224-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Wellmont Medical Associates, Inc. (NPI 1598124398, Kingsport, TN); Paragon Anesthesia PC (NPI 1538174974, Kingsport, TN); American Anesthesiology Of Tennessee, P.C. (NPI 1245279777, Knoxville, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lincoln Memorial University Medical Department, class of 2012
## Record status
- **NPPES last updated:** February 13, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1013256809) · Data from the CMS NPPES public registry.