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JANESA RYAN NP-C
NPI 1376195222
Nurse Practitioner in Spearfish, SD

Active since July 11, 2019PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1445 NORTH AVE, SPEARFISH, SD 57783(605) 644-4170 Get Directions Write a Review

NPPES record last updated: July 11, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Janesa Ryan Np-c NPPES

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

JANESA RYAN NP-C (NPI 1376195222) is an individual nurse practitioner in Spearfish, South Dakota, licensed in South Dakota (CP001586) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1376195222
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJANESA RYANCredential: NP-C
Location Address1445 NORTH AVESpearfish, SD 57783-1552
Mailing Address893 Oak Creek RdAladdin, WY 82710-9724 · (605) 641-7595
Phone(605) 644-4170
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 11, 2019
✔ NPI 1376195222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in SD · CP001586
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License CP001586 (SD)
1445 NORTH AVE, Spearfish, SD 57783
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica, Oscar Insurance Company and more.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

Janesa Ryan Np-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 ID7618206673
PECOS Enrollment IDI20190917001858
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 2

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.

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.
25 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Monument Health Spearfish Hospital

Acute Care Hospitals · Spearfish, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430048
Location1440 N Main StSpearfish, SD 57783 · Lawrence County
Emergency services

Monument Health Lead-Deadwood Hospital

Critical Access Hospitals · Deadwood, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431320
Location61 Charles StreetDeadwood, SD 57732 · Lawrence County
Emergency services

Monument Health Sturgis Hospital

Critical Access Hospitals · Sturgis, SD
OwnershipVoluntary non-profit - Other
CMS Certification Number431321
Location2140 Junction AveSturgis, SD 57785 · Meade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57783 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

KATY JEAN JONES CNP
Nurse Practitioner (Family)
1445 NORTH AVE
SPEARFISH, SD 57783
Lawrence County (605) 644-4170
DENISE L BYRD AUD
Audiologist
1445 NORTH AVE
SPEARFISH, SD 57783
Lawrence County (605) 644-4170
WARREN GOLLIHER MD
Family Medicine
1445 NORTH AVE, SUITE 2
SPEARFISH, SD 57783
Lawrence County (605) 644-4170
HEATHER A BREWER MD
Obstetrics & Gynecology
1445 NORTH AVE
SPEARFISH, SD 57783
Lawrence County (605) 644-4170
SPEARFISH REGIONAL HOSPITAL
General Acute Care Hospital
1445 NORTH AVE
SPEARFISH, SD 57783
Lawrence County (605) 644-4170
DR. JESSICA LYNN DONNER MD
Obstetrics & Gynecology
1445 NORTH AVE
SPEARFISH, SD 57783
Lawrence County (605) 644-4170
WESLEY REID BADGER M.D.
Surgery
1445 NORTH AVE
SPEARFISH, SD 57783
Lawrence County (605) 644-4170
ANGELA R ANDERSON MD
Pediatrics
1445 NORTH AVE
SPEARFISH, SD 57783
Lawrence County (605) 644-4170

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 Janesa Ryan's NPI number?

The NPI number for Janesa Ryan is 1376195222. It was assigned to this individual provider in the NPPES registry on July 11, 2019.

Where is Janesa Ryan located?

Janesa Ryan practices at 1445 North Ave, Spearfish, SD 57783. The listed phone number is (605) 644-4170.

What is Janesa Ryan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Janesa Ryan enrolled in Medicare?

Yes. Janesa 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 Janesa Ryan accept?

Health plans from Avera Health Plans, Medica, Oscar Insurance Company and Sanford Health Plan list Janesa 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 Janesa Ryan affiliated with any hospitals?

According to CMS data, Janesa Ryan is affiliated with Monument Health Spearfish Hospital, Monument Health Lead-Deadwood Hospital and Monument Health Sturgis Hospital.

When was this NPI record last updated?

The NPPES record for Janesa Ryan was last updated on July 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.