RYAN NUTTER PA-C
NPI 1265716690
Physician Assistant - Surgical in Milwaukee, WI

Active since October 04, 2011PECOS EnrolledAccepts Medicare Assignment
525 W RIVER WOODS PKWY # 201, MILWAUKEE, WI 53212(414) 249-2422(414) 249-0298 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2021, Jan 14, 2017 (2 updates tracked since 2017).

About Ryan Nutter Pa-c NPPES

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

RYAN NUTTER PA-C (NPI 1265716690) is an individual surgical provider in Milwaukee, Wisconsin, licensed in Wisconsin (2773-023) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, is affiliated with Orthopaedic Hospital Of Wisconsin, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1265716690
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameRYAN NUTTERCredential: PA-C
Location Address525 W RIVER WOODS PKWY # 201Milwaukee, WI 53212-1024
Mailing Address525 W River Woods Pkwy Ste 130Glendale, WI 53212-1010 · (414) 961-0304 · Fax (414) 961-0298
Fax(414) 249-0298
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 4, 2011
Last NPPES UpdateMarch 3, 20212 updates tracked since enumeration
NPPES CertifiedMarch 3, 2021
NPI 1265716690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in WI · 2773-023
525 W RIVER WOODS PKWY # 201, Milwaukee, WI 53212

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 Nutter Pa-c 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 ID7012189814
PECOS Enrollment IDI20111019000846
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.

Hospital Affiliations CMS Care Compare

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

Orthopaedic Hospital Of Wisconsin

Acute Care Hospitals · Glendale, WI
OwnershipPhysician
CMS Certification Number520194
Location475 W River Woods PkwyGlendale, WI 53212 · Milwaukee County

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 Nutter's NPI number?

The NPI number for Ryan Nutter is 1265716690. It was assigned to this individual provider in the NPPES registry on October 4, 2011.

Where is Ryan Nutter located?

Ryan Nutter practices at 525 W River Woods Pkwy # 201, Milwaukee, WI 53212. The listed phone number is (414) 249-2422.

What is Ryan Nutter's specialty?

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

Is Ryan Nutter enrolled in Medicare?

Yes. Ryan Nutter 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.

Is Ryan Nutter affiliated with any hospitals?

According to CMS data, Ryan Nutter is affiliated with Orthopaedic Hospital Of Wisconsin.

When was this NPI record last updated?

The NPPES record for Ryan Nutter was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.