MS. ELIZABETH MARY RYAN NP
NPI 1669539805
Nurse Practitioner - Adult Health in Petaluma, CA

Q: What is Elizabeth Ryan's NPI number?

The NPI number for Elizabeth Ryan is 1669539805. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Q: What is Elizabeth Ryan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Ryan was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 03, 2007PECOS Enrolled

3900 LAKEVILLE HWY, PETALUMA, CA 94954(707) 765-3960 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Elizabeth Mary Ryan Np NPPES

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

MS. ELIZABETH MARY RYAN NP (NPI 1669539805) is an individual adult health provider in Petaluma, California, licensed in California (495390) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669539805

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMS. ELIZABETH MARY RYANCredential: NP

Location Address3900 LAKEVILLE HWYPetaluma, CA 94954-5698

Mailing Address3900 Lakeville HwyPetaluma, CA 94954-5698 · (707) 765-3594

Phone(707) 765-3960

Sole ProprietorYes

Enumeration DateJanuary 3, 2007

Last NPPES UpdateFebruary 11, 2022

✔ NPI 1669539805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in CA · 495390

3900 LAKEVILLE HWY, Petaluma, CA 94954

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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)

Ms. Elizabeth Mary Ryan Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94954 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

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.

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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.

DANIEL G WHITE MD

Family Medicine