MR. TIMOTHY RYAN RYSAVY PSYD, LP
NPI 1073052163
Psychologist in St. Cloud, MN
About Mr. Timothy Ryan Rysavy Psyd, Lp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TIMOTHY RYAN RYSAVY PSYD, LP (NPI 1073052163) is an individual psychologist in St. Cloud, Minnesota, licensed in Minnesota (LP6105) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Timothy Ryan Rysavy Psyd, Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Timothy Rysavy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Cloud, MN 56303
- Reassigned Medicare billing, Minnesota enrollment
- 3 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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.
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
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 Timothy Rysavy's NPI number?
The NPI number for Timothy Rysavy is 1073052163. It was assigned to this individual provider in the NPPES registry on February 22, 2017.
Where is Timothy Rysavy located?
Timothy Rysavy practices at 251 County Road 120, St. Cloud, MN 56303. The listed phone number is (320) 258-3833.
What is Timothy Rysavy's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Timothy Rysavy enrolled in Medicare?
Yes. Timothy Rysavy is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Timothy Rysavy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Rysavy reassigns Medicare benefits to St. Cloud Neurobehavioral Associates PA (Saint Cloud, MN). The 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 Timothy Rysavy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Timothy Rysavy accept?
Health plans from HealthPartners list Timothy Rysavy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Timothy Rysavy was last updated on February 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.