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DR. RYAN THOMAS BLUCKER
NPI 1720302003
Psychologist - Health Service in Oklahoma City, OK

Active since March 16, 2010PECOS Enrolled
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104(405) 271-4407 Get Directions Write a Review

NPPES record last updated: June 27, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ryan Thomas Blucker NPPES

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

DR. RYAN THOMAS BLUCKER (NPI 1720302003) is an individual health service provider in Oklahoma City, Oklahoma, licensed in Oklahoma (1188) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720302003
Entity TypeIndividualMale
Primary Taxonomy103TH0100X
Provider Legal NameDR. RYAN THOMAS BLUCKER
Location Address1200 CHILDRENS AVEOklahoma City, OK 73104
Mailing Address1100 Ne 13th StOklahoma City, OK 73117-1039
Phone(405) 271-4407
Sole ProprietorNo
Enumeration DateMarch 16, 2010
Last NPPES UpdateJune 27, 2018
✔ NPI 1720302003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
License✔ Licensed in OK · 1188
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
1200 CHILDRENS AVE, Oklahoma City, OK 73104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ryan Thomas Blucker 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ryan Blucker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ou Health Partners, Inc
Same address
Multi-Specialty
1200 CHILDRENS AVE STE 11200
Oklahoma City, OK 73104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,795 clinicians in this Medicare group
NPI 1528642642 (405) 271-3932
Board Of Regents Of The University Of Oklahoma - Ou Physicians
Same address
Multi-Specialty
825 NE 10TH ST
Oklahoma City, OK 73104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 845 clinicians in this Medicare group
NPI 1801869250 (405) 271-3932

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KRUTI SHAH
Student in an Organized Health Care Education/Training Program
1200 CHILDRENS AVE, SUITE 4D
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-8001
MRS. RACHEL LEIGH CROSS APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
1200 CHILDRENS AVE, SUITE 10000
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4412
KAYLEE MARTIN
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5437
KRISTEN PUENTE RD, LD
Dietitian, Registered
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4700
ROA MUQBEL
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417
DR. CLAIRE ELIZABETH KUNKEL SMITH DO
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417
JAY OGLE DO
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417
BLAYNE BORDWINE
Pediatrics (Hospice and Palliative Medicine)
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4700

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 Blucker's NPI number?

The NPI number for Ryan Blucker is 1720302003. It was assigned to this individual provider in the NPPES registry on March 16, 2010.

Where is Ryan Blucker located?

Ryan Blucker practices at 1200 Childrens Ave, Oklahoma City, OK 73104. The listed phone number is (405) 271-4407.

What is Ryan Blucker's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Is Ryan Blucker enrolled in Medicare?

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

Which organizations bill Medicare for Ryan Blucker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Blucker reassigns Medicare benefits to 2 organizations: Ou Health Partners, Inc (Oklahoma City, OK) and Board Of Regents Of The University Of Oklahoma - Ou Physicians (Oklahoma City, OK). 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 Blucker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Blucker accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Ryan Blucker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ryan Blucker was last updated on June 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.