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DR. RYAN ANDERSEN DO
NPI 1538859038
Student in an Organized Health Care Education/Training Program in La Crosse, WI

Active since May 09, 2023PECOS Enrolled
N1973 WEDGEWOOD DR E, LA CROSSE, WI 54601(608) 797-4854 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 11, 2024, May 9, 2023 (2 updates tracked since 2023).

About Dr. Ryan Andersen Do NPPES

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

DR. RYAN ANDERSEN DO (NPI 1538859038) is an individual student in an organized health care education/training program in La Crosse, Wisconsin and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538859038
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. RYAN ANDERSENCredential: DO
Location AddressN1973 WEDGEWOOD DR ELa Crosse, WI 54601-7132
Mailing Address3441 Dickerson PikeNashville, TN 37207-2539 · (334) 704-3464
Phone(608) 797-4854
Sole ProprietorNo
Enumeration DateMay 9, 2023
Last NPPES UpdateJune 11, 20242 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1538859038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
N1973 WEDGEWOOD DR E, La Crosse, WI 54601
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ryan Andersen Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Andersen's NPI number?

The NPI number for Ryan Andersen is 1538859038. It was assigned to this individual provider in the NPPES registry on May 9, 2023.

Where is Ryan Andersen located?

Ryan Andersen practices at N1973 Wedgewood Dr E, La Crosse, WI 54601. The listed phone number is (608) 797-4854.

What is Ryan Andersen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ryan Andersen enrolled in Medicare?

Yes. Ryan Andersen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Andersen was last updated on June 11, 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.