KELLY RYAN PA-C
NPI 1629559216
Physician Assistant in New York, NY

Active since August 22, 2018PECOS EnrolledAccepts Medicare Assignment
462 1ST AVE, NEW YORK, NY 10016(212) 562-4141 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelly Ryan Pa-c NPPES

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

KELLY RYAN PA-C (NPI 1629559216) is an individual physician assistant in New York, New York, licensed in New York (022480) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Jersey Shore University Medical Center, and is a graduate of Other.

NPPES Registry Identity

NPI1629559216
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY RYANCredential: PA-C
Location Address462 1ST AVENew York, NY 10016-9196
Mailing Address331 Washington AveAvon By The Sea, NJ 07717-1274 · (732) 337-8498
Sole ProprietorNo
Medical School CMSOther
Enumeration DateAugust 22, 2018
NPI 1629559216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 022480
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

462 1ST AVE, New York, NY 10016

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

Kelly Ryan 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 ID9638401185
PECOS Enrollment IDI20201221000039
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital inpatient care per day, typically 30 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Anesthesiology
462 1ST AVE
NEW YORK, NY 10016
Internal Medicine
462 1ST AVE, BELLEVUE AMBULATORY CARE PAVILION 2ND FLOOR
NEW YORK, NY 10016
Radiology (Diagnostic Radiology)
462 1ST AVE
NEW YORK, NY 10016
Internal Medicine (Pulmonary Disease)
462 1ST AVE, 7 NORTH 24
NEW YORK, NY 10016
Physician Assistant (Surgical)
462 1ST AVE, 10 SOUTH 1
NEW YORK, NY 10016
Internal Medicine (Endocrinology, Diabetes & Metabolism)
462 1ST AVE, BELLEVUE HOSPITAL DEPT OF MEDICINE NBV 16SOUTH12
NEW YORK, NY 10016
Social Worker (Clinical)
462 1ST AVE, CD745
NEW YORK, NY 10016
Obstetrics & Gynecology
462 1ST AVE
NEW YORK, NY 10016

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629559216, enumerated as an "individual" on August 22, 2018.

The provider is located at 462 1ST AVE NEW YORK, NY 10016 and the phone number is (212) 562-4141.

Physician Assistant with taxonomy code 363A00000X.

Kelly Ryan is affiliated with: JERSEY SHORE UNIVERSITY MEDICAL CENTER.