MR. RYAN JOSEPH CLANCY PA-C
NPI 1457566606
Physician Assistant - Medical in Philadelphia, PA

Active since May 11, 2007PECOS EnrolledAccepts Medicare Assignment
120 S 30TH ST, 2ND FLOOR, PHILADELPHIA, PA 19104(215) 222-2466(215) 222-2462 Get Directions Write a Review

NPPES record last updated: March 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Ryan Joseph Clancy Pa-c NPPES

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

MR. RYAN JOSEPH CLANCY PA-C (NPI 1457566606) is an individual medical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA051812) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1457566606
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. RYAN JOSEPH CLANCYCredential: PA-C
Location Address120 S 30TH ST, 2ND FLOORPhiladelphia, PA 19104-3403
Mailing Address1412 Fairmount AvenuePhiladelphia, PA 19130 · (215) 599-4851 · Fax (215) 232-4093
Fax(215) 222-2462
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 11, 2007
Last NPPES UpdateMarch 23, 2011
NPI 1457566606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in PA · MA051812
120 S 30TH ST, Philadelphia, PA 19104

Accepted 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

Mr. Ryan Joseph Clancy 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 ID6406006964
PECOS Enrollment IDI20121019000063
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.

Other Providers at the Same Location NPPES 7

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

Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
120 S 30TH ST, 5TH FLOOR
PHILADELPHIA, PA 19104
Community/Behavioral Health
120 S 30TH ST, IST DIVISION
PHILADELPHIA, PA 19104
Community/Behavioral Health
120 S 30TH ST, IST DIVISION
PHILADELPHIA, PA 19104
Community/Behavioral Health
120 S 30TH ST, IST DIVISION
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Psychiatry)
120 S 30TH ST
PHILADELPHIA, PA 19104
Community/Behavioral Health
120 S 30TH ST, IST DIVISION
PHILADELPHIA, PA 19104
Community/Behavioral Health
120 S 30TH ST, IST DIVISION
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 Ryan Clancy's NPI number?

The NPI number for Ryan Clancy is 1457566606. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Ryan Clancy located?

Ryan Clancy practices at 120 S 30th St 2nd Floor, Philadelphia, PA 19104. The listed phone number is (215) 222-2466.

What is Ryan Clancy's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ryan Clancy enrolled in Medicare?

Yes. Ryan Clancy 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 Ryan Clancy accept?

Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list Ryan Clancy 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.

When was this NPI record last updated?

The NPPES record for Ryan Clancy was last updated on March 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.