1. Home
  2. Directory
  3. Tennessee
  4. Kingsport
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

MRS. STACEY ANN RYDER CRNA
NPI 1013256809
Nurse Anesthetist, Certified Registered in Kingsport, TN

Active since February 13, 2013Accepts Medicare Assignment
130 W RAVINE RD, KINGSPORT, TN 37660(423) 224-4000 Get Directions Write a Review

NPPES record last updated: February 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1013256809
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMRS. STACEY ANN RYDERCredential: CRNA
Location Address130 W RAVINE RDKingsport, TN 37660-3837
Mailing Address130 W Ravine RdKingsport, TN 37660-3837 · (423) 224-4000
Phone(423) 224-4000
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2012
Enumeration DateFebruary 13, 2013
✔ NPI 1013256809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TN · 0
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
130 W RAVINE RD, Kingsport, TN 37660
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID840437117
PECOS Enrollment IDI20130503000256

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, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Indian Path Community Hospital

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440176
Location2000 Brookside DrKingsport, TN 37660 · Sullivan County
Emergency services Birthing friendly

Physician 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.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
100%670 patients5/55-star benchmark: 100%
Prevention of Post-Operative Nausea and Vomiting (PONV) - Combination Therapy
Percentage of patients, aged 18 years and older, who undergo a procedure under an inhalational general anesthetic, AND who have three or more risk factors for post-operative nausea and vomiting (PONV), who receive combination therapy consisting of at least…
97%197 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

CLAIRE ELLIOTT PHARMD
Pharmacist
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-4000
WPS PROVIDERS INC
General Practice
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-4000
JAMES ROBERT BECK PHARMACIST
Pharmacist
130 W RAVINE RD, WELLMONT OUTPATIENT PHARMACY
KINGSPORT, TN 37660
Sullivan County (423) 224-6860
MRS. REKHA S GUPTA OTR
Occupational Therapist
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-5535
DR. HETVI KIRITKUMAR JOSHI M.D.
Hospitalist
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-3628
SHERRY LYNN GOODE NP
Nurse Practitioner (Family)
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-3628
PATRINA NICOLYN CRADIC FNP-C
Nurse Practitioner (Family)
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-4000
GEORGE M TESTERMAN JR. MD
Surgery
130 W RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 224-5826

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.

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.