NIKKIANN RYAN MA
NPI 1316796097
Counselor - Mental Health in Worcester, MA

Active since May 15, 2024PECOS EnrolledAccepts Medicare Assignment
108 GROVE ST STE 307, WORCESTER, MA 01605(508) 859-1381 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Nikkiann Ryan Ma NPPES

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

NIKKIANN RYAN MA (NPI 1316796097) is an individual mental health provider in Worcester, Massachusetts and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1316796097
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNIKKIANN RYANCredential: MA
Location Address108 GROVE ST STE 307Worcester, MA 01605-2651
Mailing Address220 Providence Rd Apt 312South Grafton, MA 01560-1164 · (914) 806-1463
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 15, 2024
NPPES CertifiedMay 15, 2024
✔ NPI 1316796097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
108 GROVE ST STE 307, Worcester, MA 01605

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nikkiann Ryan Ma 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 ID2769949833
PECOS Enrollment IDI20260807003904
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.

Medicare Billing Reassignment

Medicare enrollment records show Nikkiann Ryan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
30 TAUNTON GREEN, SUITE 5
Taunton, MA 02780
  • Reassigned Medicare billing, Massachusetts enrollment
  • 689 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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
108 GROVE ST STE 307
WORCESTER, MA 01605
Counselor (Mental Health)
108 GROVE ST STE 307
WORCESTER, MA 01605

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 Nikkiann Ryan's NPI number?

The NPI number for Nikkiann Ryan is 1316796097. It was assigned to this individual provider in the NPPES registry on May 15, 2024.

Where is Nikkiann Ryan located?

Nikkiann Ryan practices at 108 Grove St Ste 307, Worcester, MA 01605. The listed phone number is (508) 859-1381.

What is Nikkiann Ryan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nikkiann Ryan enrolled in Medicare?

Yes. Nikkiann 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.

Which organization bills Medicare for Nikkiann Ryan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikkiann Ryan reassigns Medicare benefits to Northeast Health Services, LLC (Taunton, MA). 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 Nikkiann Ryan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nikkiann Ryan was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.