TAYSHA MARIE RYAN
NPI 1770123804
Nurse Practitioner - Family in Champaign, IL

Q: What is Taysha Ryan's NPI number?

The NPI number for Taysha Ryan is 1770123804. It was assigned to this individual provider in the NPPES registry on January 7, 2020.

Q: What is Taysha Ryan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Taysha Ryan was last updated on August 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 07, 2020PECOS EnrolledAccepts Medicare Assignment

309 W CLARK ST, CHAMPAIGN, IL 61820(217) 398-9066(217) 398-9077 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 4, 2022, Jan 7, 2020 (2 updates tracked since 2020).

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About Taysha Marie Ryan NPPES

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

TAYSHA MARIE RYAN (NPI 1770123804) is an individual family provider in Champaign, Illinois, licensed in Illinois (209020376) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and maintains a secondary practice location in Urbana.

NPPES Registry Identity

NPI1770123804

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTAYSHA MARIE RYAN

Location Address309 W CLARK STChampaign, IL 61820-4637

Mailing Address309 W Clark StChampaign, IL 61820-4637 · (217) 398-9066 · Fax (217) 398-9077

Phone(217) 398-9066

Fax(217) 398-9077

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 7, 2020

Last NPPES UpdateAugust 4, 20222 updates tracked since enumeration

NPPES CertifiedAugust 4, 2022

✔ NPI 1770123804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209020376

309 W CLARK ST, Champaign, IL 61820

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Secondary Practice Location 1

Location 12001 Philo RdUrbana, IL 61802-8007 · Phone (217) 398-9066 · Fax (217) 398-9077

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

Taysha Marie Ryan 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 ID4082090766

PECOS Enrollment IDI20221004000706

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.

Hospital Affiliations CMS Care Compare

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

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140189

Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61820 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

MR. TIMOTHY CRONIN M.S., LPC

Counselor (Mental Health)