MARILYSE ANN RYAN PA-C
NPI 1174871933
Physician Assistant - Medical in Roseville, CA
About Marilyse Ann Ryan Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARILYSE ANN RYAN PA-C (NPI 1174871933) is an individual medical provider in Roseville, California, licensed in California (PA22490) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marilyse Ann Ryan Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
ROSEVILLE, CA 95661
ROSEVILLE, CA 95661
ROSEVILLE, CA 95661
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 Marilyse Ryan's NPI number?
The NPI number for Marilyse Ryan is 1174871933. It was assigned to this individual provider in the NPPES registry on August 27, 2012.
Where is Marilyse Ryan located?
Marilyse Ryan practices at 729 Sunrise Ave # 900, Roseville, CA 95661. The listed phone number is (916) 771-6539.
What is Marilyse Ryan's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Marilyse Ryan enrolled in Medicare?
Yes. Marilyse Ryan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Marilyse Ryan was last updated on January 3, 2022. 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.
# Marilyse Ann Ryan, PA-C · NPI 1174871933
Medical physician in Roseville, California. Individual provider, active in the CMS NPPES registry since August 27, 2012.
## Identity
- **NPI:** 1174871933 (Entity type: Individual)
- **Enumerated:** August 27, 2012
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA22490 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 729 SUNRISE AVE, # 900, Roseville, CA 95661-4565
- **Phone:** (916) 771-6539
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1174871933) · Data from the CMS NPPES public registry.