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RYAN WALLACE NP
NPI 1689389868
Nurse Practitioner - Adult Health in Poughkeepsie, NY

Active since January 23, 2023PECOS EnrolledAccepts Medicare Assignment
45 READE PL, POUGHKEEPSIE, NY 12601(917) 504-6635 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2025, Jul 7, 2023, Jan 23, 2023 (3 updates tracked since 2023).

About Ryan Wallace Np NPPES

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

RYAN WALLACE NP (NPI 1689389868) is an individual adult health provider in Poughkeepsie, New York, licensed in New York (310895) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1689389868
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameRYAN WALLACECredential: NP
Location Address45 READE PLPoughkeepsie, NY 12601-3947
Mailing Address6136 170th St Apt M4Fresh Meadows, NY 11365-1957 · (845) 297-3913
Phone(917) 504-6635
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 23, 2023
Last NPPES UpdateJune 16, 20253 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1689389868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 310895
Also ListedRegistered NurseTaxonomy 163W00000X · License 170263 (CT), 639923 (NY)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 10962 (CT)
45 READE PL, Poughkeepsie, NY 12601
Open in Google Maps ↗

Secondary Practice Locations 3

Location 16136 170th St Apt M4Fresh Meadows, NY 11365-1957 · Phone (845) 297-3913
Location 2838 Fair StCarmel, NY 10512-3085 · Phone (845) 878-4111
Location 3300 Grant AveLake Katrine, NY 12449-5340 · Phone (845) 366-3500

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

Ryan Wallace Np 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 ID2466416813
PECOS Enrollment IDI20230419001284
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 2

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

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,745 services99 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
495 services87 patients

Hospital Affiliations CMS Care Compare

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

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330023
Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12601 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

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.

PRIYAM PATTNAIK MD
Pediatrics (Neonatal-Perinatal Medicine)
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (845) 431-5677
CHRISTINE WILSON AGACNP
Nurse Practitioner (Acute Care)
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (845) 454-8500
ZEESHAN IRANI DO, MSMED
Student in an Organized Health Care Education/Training Program
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (203) 241-2685
DIANNE GUARNERA THOMSON PA
Physician Assistant (Surgical)
45 READE PL, VASSAR BROTHERS MEDICAL CENTER
POUGHKEEPSIE, NY 12601
Dutchess County (845) 454-8500
DR. JAMES SHARP M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (845) 431-5618
DR. DOMENICO CARMINE MASTANDREA D.O.
Emergency Medicine
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (845) 431-5680
CHENG NG MD
Emergency Medicine
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (845) 790-1317
MEGAN CALARDO CRNA
Nurse Anesthetist, Certified Registered
45 READE PL
POUGHKEEPSIE, NY 12601
Dutchess County (845) 454-8500

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 Wallace's NPI number?

The NPI number for Ryan Wallace is 1689389868. It was assigned to this individual provider in the NPPES registry on January 23, 2023.

Where is Ryan Wallace located?

Ryan Wallace practices at 45 Reade Pl, Poughkeepsie, NY 12601. The listed phone number is (917) 504-6635.

What is Ryan Wallace's specialty?

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

Is Ryan Wallace enrolled in Medicare?

Yes. Ryan Wallace 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.

Is Ryan Wallace affiliated with any hospitals?

According to CMS data, Ryan Wallace is affiliated with Vassar Brothers Medical Center.

When was this NPI record last updated?

The NPPES record for Ryan Wallace was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.