DR. TARA JANE RYAN DNP, APRN, FNP-BC
NPI 1477371128
Nurse Practitioner - Family in Jackson, WY

Active since October 01, 2024PECOS EnrolledAccepts Medicare Assignment
2055 S PARK RANCH RD, JACKSON, WY 83001(307) 413-5698 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Tara Jane Ryan Dnp, Aprn, Fnp-bc NPPES

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

DR. TARA JANE RYAN DNP, APRN, FNP-BC (NPI 1477371128) is an individual family provider in Jackson, Wyoming, licensed in Wyoming (47218) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1477371128
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. TARA JANE RYANCredential: DNP, APRN, FNP-BC
Location Address2055 S PARK RANCH RDJackson, WY 83001-9438
Mailing Address2055 S Park Ranch RdJackson, WY 83001-9438 · (307) 413-5698
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 1, 2024
Last NPPES UpdateOctober 4, 2024
NPPES CertifiedOctober 4, 2024
✔ NPI 1477371128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WY · 47218
2055 S PARK RANCH RD, Jackson, WY 83001

Accepted Insurance

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

Dr. Tara Jane Ryan Dnp, Aprn, Fnp-bc 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 ID5890212781
PECOS Enrollment IDI20250505001534
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 Tara Ryan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Critical Access
615 E HENNICK ST
Pinedale, WY 82941
  • Reassigned Medicare billing, Wyoming enrollment
  • 10 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83001 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
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.

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 Tara Ryan's NPI number?

The NPI number for Tara Ryan is 1477371128. It was assigned to this individual provider in the NPPES registry on October 1, 2024.

Where is Tara Ryan located?

Tara Ryan practices at 2055 S Park Ranch Rd, Jackson, WY 83001. The listed phone number is (307) 413-5698.

What is Tara Ryan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tara Ryan enrolled in Medicare?

Yes. Tara 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 Tara Ryan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Ryan reassigns Medicare benefits to Sublette County Hospital District (Pinedale, WY). 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 Tara Ryan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tara Ryan accept?

Health plans from Blue Cross Blue Shield of Wyoming list Tara 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.

When was this NPI record last updated?

The NPPES record for Tara Ryan was last updated on October 4, 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.