MISS KELLY ANNE RYAN CRNP
NPI 1174899025
Nurse Practitioner - Pediatrics in Philadelphia, PA
About Miss Kelly Anne Ryan Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS KELLY ANNE RYAN CRNP (NPI 1174899025) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP011991) and active in the NPI registry since March 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)
Miss Kelly Anne Ryan Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Kelly Ryan's NPI number?
The NPI number for Kelly Ryan is 1174899025. It was assigned to this individual provider in the NPPES registry on March 26, 2012.
Where is Kelly Ryan located?
Kelly Ryan practices at 34th Street & Civic Center Blvd Children's Hospital Of Philadelphia, Philadelphia, PA 19104. The listed phone number is (856) 906-2149.
What is Kelly Ryan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Kelly Ryan enrolled in Medicare?
Yes. Kelly Ryan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kelly Ryan was last updated on March 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Miss Kelly Anne Ryan, CRNP · NPI 1174899025
Pediatrics physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 26, 2012.
## Identity
- **NPI:** 1174899025 (Entity type: Individual)
- **Enumerated:** March 26, 2012
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** SP011991 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 34TH STREET & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA, Philadelphia, PA 19104-4399
- **Phone:** (856) 906-2149
## 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:** March 26, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1174899025) · Data from the CMS NPPES public registry.