RYAN WALLACE NP
NPI 1689389868
Nurse Practitioner - Adult Health in Poughkeepsie, NY
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
Specialties & Licenses 3
Secondary Practice Locations 3
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Ryan Wallace reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Poughkeepsie, NY 12601
- Reassigned Medicare billing, New York enrollment
- 638 clinicians in this Medicare group
Valley Cottage, NY 10989
- Reassigned Medicare billing, New York enrollment
- 137 clinicians in this Medicare group
Fresh Meadows, NY 11365
- Reassigned Medicare billing, New York enrollment
- 193 clinicians in this Medicare group
Jamaica, NY 11432
- Reassigned Medicare billing, New York enrollment
- 68 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.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Vassar Brothers Medical Center
Acute Care Hospitals · Poughkeepsie, NYWestchester Medical Center
Acute Care Hospitals · Valhalla, NYPhysician 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.
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.
POUGHKEEPSIE, NY 12601
POUGHKEEPSIE, NY 12601
POUGHKEEPSIE, NY 12601
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.
Which organizations bill Medicare for Ryan Wallace's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Wallace reassigns Medicare benefits to 4 organizations: Nuvance Health Medical Practice PC (Poughkeepsie, NY), My Medical PC (Valley Cottage, NY), Peyman Younesi MD PLLC (Fresh Meadows, NY) and Fresh Meadows Physician Practice PLLC (Jamaica, NY). Each 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 Ryan Wallace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ryan Wallace affiliated with any hospitals?
According to CMS data, Ryan Wallace is affiliated with Vassar Brothers Medical Center and Westchester 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 16 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.
# Ryan Wallace, NP · NPI 1689389868
Adult Health physician in Poughkeepsie, New York. Individual provider, active in the CMS NPPES registry since January 23, 2023.
## Identity
- **NPI:** 1689389868 (Entity type: Individual)
- **Enumerated:** January 23, 2023
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 310895 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 45 READE PL, Poughkeepsie, NY 12601-3947
- **Phone:** (917) 504-6635
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Nuvance Health Medical Practice PC (NPI 1437358033, Poughkeepsie, NY); My Medical PC (NPI 1518637891, Valley Cottage, NY); Peyman Younesi MD PLLC (NPI 1891053328, Fresh Meadows, NY); Fresh Meadows Physician Practice PLLC (NPI 1720775083, Jamaica, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1689389868) · Data from the CMS NPPES public registry.