MRS. MARY KELLY RYALS CRNA
NPI 1770829509
Nurse Anesthetist, Certified Registered in Jackson, MS
About Mrs. Mary Kelly Ryals Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARY KELLY RYALS CRNA (NPI 1770829509) is an individual nurse anesthetist, certified registered in Jackson, Mississippi, licensed in Mississippi (R877106) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, is affiliated with Mississippi Baptist Medical Center, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Mrs. Mary Kelly Ryals Crna 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
8Medicare enrollment records show Mary Ryals reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 1,932 clinicians in this Medicare group
Jackson, MS 39201
- Reassigned Medicare billing, Mississippi enrollment
- 187 clinicians in this Medicare group
Jackson, MS 39208
- Reassigned Medicare billing, Mississippi enrollment
- 154 clinicians in this Medicare group
Greenville, MS 38703
- Reassigned Medicare billing, Mississippi enrollment
- 123 clinicians in this Medicare group
Natchez, MS 39120
- Reassigned Medicare billing, Mississippi enrollment
- 63 clinicians in this Medicare group
Greenville, MS 38703
- Reassigned Medicare billing, Mississippi enrollment
- 32 clinicians in this Medicare group
Oxford, MS 38655
- Reassigned Medicare billing, Mississippi enrollment
- 122 clinicians in this Medicare group
Memphis, TN 38103
- Reassigned Medicare billing, Tennessee enrollment
- 582 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mississippi Baptist Medical Center
Acute Care Hospitals · Jackson, MSMerit Health River Oaks
Acute Care Hospitals · Flowood, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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.
JACKSON, MS 39216
JACKSON, MS 39216
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 Mary Ryals's NPI number?
The NPI number for Mary Ryals is 1770829509. It was assigned to this individual provider in the NPPES registry on December 26, 2012.
Where is Mary Ryals located?
Mary Ryals practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-5900.
What is Mary Ryals's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Mary Ryals enrolled in Medicare?
Yes. Mary Ryals 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 Mary Ryals's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Ryals reassigns Medicare benefits to 8 organizations: State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS), Perioperative Services Of Mississippi, LLC (Jackson, MS), Anesthesia Consultants PA (Jackson, MS), Delta Medical Group (Greenville, MS), Northstar Anesthesia Of Mississippi, LLC (Natchez, MS) and 3 more organizations, listed in the Medicare section above. 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 Mary Ryals's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mary Ryals affiliated with any hospitals?
According to CMS data, Mary Ryals is affiliated with Mississippi Baptist Medical Center and Merit Health River Oaks.
When was this NPI record last updated?
The NPPES record for Mary Ryals was last updated on April 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mrs. Mary Kelly Ryals, CRNA · NPI 1770829509
Nurse Anesthetist, Certified Registered physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since December 26, 2012.
## Identity
- **NPI:** 1770829509 (Entity type: Individual)
- **Enumerated:** December 26, 2012
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** R877106 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 N STATE ST, Jackson, MS 39216-4500
- **Phone:** (601) 984-5900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): State Of Mississippi - University Of Mississippi Medical Center (NPI 1154317527, Jackson, MS); Perioperative Services Of Mississippi, LLC (NPI 1881123123, Jackson, MS); Anesthesia Consultants PA (NPI 1750300836, Jackson, MS); Delta Medical Group (NPI 1790701134, Greenville, MS); Northstar Anesthesia Of Mississippi, LLC (NPI 1124415567, Natchez, MS); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** April 10, 2013
- **Other identifiers:** Other 271785YPC0
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Source: [NPI Profile](https://npiprofile.com/npi/1770829509) · Data from the CMS NPPES public registry.