RYANN BLACKA APRN, FNP-C
NPI 1780420083
Nurse Practitioner - Family in Lenexa, KS
About Ryann Blacka Aprn, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYANN BLACKA APRN, FNP-C (NPI 1780420083) is an individual family provider in Lenexa, Kansas, licensed in Kansas (53-83388-122) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ryann Blacka Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ryann Blacka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75244
- Reassigned Medicare billing, Missouri enrollment
- 412 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 66219 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 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ryann Blacka's NPI number?
The NPI number for Ryann Blacka is 1780420083. It was assigned to this individual provider in the NPPES registry on July 5, 2024.
Where is Ryann Blacka located?
Ryann Blacka practices at 15512 W 113th St, Lenexa, KS 66219. The listed phone number is (816) 861-4700.
What is Ryann Blacka's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Ryann Blacka enrolled in Medicare?
Yes. Ryann Blacka is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ryann Blacka's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryann Blacka reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). The 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 Ryann Blacka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ryann Blacka was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.
# Ryann Blacka, APRN, FNP-C · NPI 1780420083
Family physician in Lenexa, Kansas. Individual provider, active in the CMS NPPES registry since July 5, 2024.
## Identity
- **NPI:** 1780420083 (Entity type: Individual)
- **Enumerated:** July 5, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 53-83388-122 (Kansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 15512 W 113TH ST, Lenexa, KS 66219-5100
- **Phone:** (816) 861-4700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Signify Health, LLC (NPI 1689158487, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1780420083) · Data from the CMS NPPES public registry.