JACQUELYN R RYER CRNP
NPI 1417310004
Nurse Practitioner in Hershey, PA
About Jacquelyn R Ryer Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELYN R RYER CRNP (NPI 1417310004) is an individual nurse practitioner in Hershey, Pennsylvania, licensed in Pennsylvania (SP016815) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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
Jacquelyn R Ryer Crnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jacquelyn Ryer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hershey, PA 17033
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,216 clinicians in this Medicare group
York, PA 17404
- Reassigned Medicare billing, Pennsylvania enrollment
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: Shock Trauma Associates PA
- 541 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellspan York Hospital
Acute Care Hospitals · York, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
HERSHEY, PA 17033
HERSHEY, PA 17033
HERSHEY, PA 17033
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 Jacquelyn Ryer's NPI number?
The NPI number for Jacquelyn Ryer is 1417310004. It was assigned to this individual provider in the NPPES registry on March 31, 2016. The provider is also known as Jacquelyn R Scott Crnp.
Where is Jacquelyn Ryer located?
Jacquelyn Ryer practices at 500 University Dr, Hershey, PA 17033. The listed phone number is (800) 243-1455.
What is Jacquelyn Ryer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jacquelyn Ryer enrolled in Medicare?
Yes. Jacquelyn Ryer 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 organizations bill Medicare for Jacquelyn Ryer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Ryer reassigns Medicare benefits to 3 organizations: The Milton S Hershey Medical Center Physicians Group (Hershey, PA), Restorawound LLC (York, PA) and Shock Trauma Associates, P.A. (Baltimore, MD). Each 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 Jacquelyn Ryer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jacquelyn Ryer affiliated with any hospitals?
According to CMS data, Jacquelyn Ryer is affiliated with Wellspan York Hospital.
When was this NPI record last updated?
The NPPES record for Jacquelyn Ryer was last updated on March 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Jacquelyn R Ryer, CRNP · NPI 1417310004
Nurse Practitioner physician in Hershey, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 31, 2016.
## Identity
- **NPI:** 1417310004 (Entity type: Individual)
- **Enumerated:** March 31, 2016
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** SP016815 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 500 UNIVERSITY DR, Hershey, PA 17033-2360
- **Phone:** (800) 243-1455
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The Milton S Hershey Medical Center Physicians Group (NPI 1073687497, Hershey, PA); Restorawound LLC (NPI 1750272134, York, PA); Shock Trauma Associates, P.A. (NPI 1679512909, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** March 22, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1417310004) · Data from the CMS NPPES public registry.