RYAN JAMES KELLY
NPI 1013590272
Social Worker - Clinical in Ontario, OR

Active since May 04, 2021PECOS EnrolledAccepts Medicare Assignment
702 SUNSET DR, ONTARIO, OR 97914(541) 889-9176(541) 889-7873 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2026, May 24, 2023, May 4, 2021 (3 updates tracked since 2021).

About Ryan James Kelly NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN JAMES KELLY (NPI 1013590272) is an individual clinical provider in Ontario, Oregon and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boise, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1013590272
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameRYAN JAMES KELLY
Location Address702 SUNSET DROntario, OR 97914-3121
Mailing Address702 Sunset DrOntario, OR 97914-3121 · (541) 889-9176 · Fax (541) 889-7873
Fax(541) 889-7873
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 4, 2021
Last NPPES UpdateMarch 4, 20263 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
NPI 1013590272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
702 SUNSET DR, Ontario, OR 97914

Secondary Practice Location 1

Location 11030 E Fleetwood CtBoise, ID 83706-5176 · Phone (208) 777-5122 · Fax (208) 777-5122

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

Ryan James Kelly 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 ID9234636622
PECOS Enrollment IDI20251010001108
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97914 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
$0.00 typical visit price
range $54.96 – $166.64
Typical copayment $0.00 (range $13.74 – $41.66)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

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.

Case Manager/Care Coordinator
702 SUNSET DR
ONTARIO, OR 97914
Counselor (Addiction (Substance Use Disorder))
702 SUNSET DR
ONTARIO, OR 97914
Counselor
702 SUNSET DR
ONTARIO, OR 97914
Case Manager/Care Coordinator
702 SUNSET DR
ONTARIO, OR 97914
Counselor
702 SUNSET DR
ONTARIO, OR 97914
Substance Abuse Rehabilitation Facility
702 SUNSET DR
ONTARIO, OR 97914
Counselor (Professional)
702 SUNSET DR
ONTARIO, OR 97914
Social Worker
702 SUNSET DR
ONTARIO, OR 97914

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 Ryan Kelly's NPI number?

The NPI number for Ryan Kelly is 1013590272. It was assigned to this individual provider in the NPPES registry on May 4, 2021.

Where is Ryan Kelly located?

Ryan Kelly practices at 702 Sunset Dr, Ontario, OR 97914. The listed phone number is (541) 889-9176.

What is Ryan Kelly's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Ryan Kelly enrolled in Medicare?

Yes. Ryan Kelly 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.

When was this NPI record last updated?

The NPPES record for Ryan Kelly was last updated on March 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.