MARY KATHRYN RYAN PA-C, ATL
NPI 1083038582
Physician Assistant - Surgical in Renton, WA

Active since February 05, 2014PECOS EnrolledAccepts Medicare Assignment
4011 TALBOT RD S STE 300, RENTON, WA 98055(425) 656-5060(425) 656-5047 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Kathryn Ryan Pa-c, Atl NPPES

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

MARY KATHRYN RYAN PA-C, ATL (NPI 1083038582) is an individual surgical provider in Renton, Washington, licensed in Washington (PA61227531) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, is affiliated with Valley Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1083038582
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMARY KATHRYN RYANCredential: PA-C, ATL
Location Address4011 TALBOT RD S STE 300Renton, WA 98055-5791
Mailing Address4011 Talbot Rd S Ste 300Renton, WA 98055-5791 · (425) 656-5060 · Fax (425) 656-5047
Fax(425) 656-5047
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 5, 2014
Last NPPES UpdateOctober 26, 2021
NPPES CertifiedOctober 26, 2021
NPI 1083038582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in WA · PA61227531
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 2601001845 (MI)
4011 TALBOT RD S STE 300, Renton, WA 98055

Secondary Practice Locations 4

Location 1150 Andover Park WTukwila, WA 98188-2801 · Phone (425) 979-2663 · Fax (425) 524-4447
Location 21620 Lake Tapps Pkwy SE Ste 115Auburn, WA 98092-8376 · Phone (253) 246-2860 · Fax (253) 246-2861
Location 327005 168th Pl SE Ste 201Covington, WA 98042-4902 · Phone (253) 630-3660 · Fax (253) 631-1591
Location 424060 SE Kent Kangley Rd Ste D-100Maple Valley, WA 98038-6851 · Phone (425) 358-7708 · Fax (425) 656-5047

Other Identifiers 1

Medicaid2193228WA

Accepted Insurance

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

Mary Kathryn Ryan Pa-c, Atl 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 ID9234527797
PECOS Enrollment IDI20211102002975, I20260527003959
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.

Areas of Expertise CMS Part B claims 11

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.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
1,569 services23 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
580 services39 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
209 services142 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
114 services57 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
61 services52 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
46 services44 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Valley Medical Center

Acute Care Hospitals · Renton, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500088
Location400 S 43rd StRenton, WA 98055 · King County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers14 claims14 services$41.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Orthopaedic Surgery (Hand Surgery)
4011 TALBOT RD S STE 300
RENTON, WA 98055
Physician Assistant (Surgical)
4011 TALBOT RD S STE 300
RENTON, WA 98055
Orthopaedic Surgery
4011 TALBOT RD S STE 300
RENTON, WA 98055
Orthopaedic Surgery (Sports Medicine)
4011 TALBOT RD S STE 300
RENTON, WA 98055
Physical Medicine & Rehabilitation (Pain Medicine)
4011 TALBOT RD S STE 300
RENTON, WA 98055
Nurse Practitioner (Family)
4011 TALBOT RD S STE 300
RENTON, WA 98055
Physician Assistant (Surgical)
4011 TALBOT RD S STE 300
RENTON, WA 98055
Nurse Practitioner (Family)
4011 TALBOT RD S STE 300
RENTON, WA 98055

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 Mary Ryan's NPI number?

The NPI number for Mary Ryan is 1083038582. It was assigned to this individual provider in the NPPES registry on February 5, 2014.

Where is Mary Ryan located?

Mary Ryan practices at 4011 Talbot Rd S Ste 300, Renton, WA 98055. The listed phone number is (425) 656-5060.

What is Mary Ryan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Mary Ryan enrolled in Medicare?

Yes. Mary Ryan 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.

What insurance does Mary Ryan accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mary Ryan 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.

Is Mary Ryan affiliated with any hospitals?

According to CMS data, Mary Ryan is affiliated with Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Ryan was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.