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KAELLY ANN RYAN PA-C
NPI 1811558943
Physician Assistant in Springfield, MA

Active since June 28, 2019PECOS Enrolled
1000 STATE ST, SPRINGFIELD, MA 01109(413) 205-3248 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaelly Ann Ryan Pa-c NPPES

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

KAELLY ANN RYAN PA-C (NPI 1811558943) is an individual physician assistant in Springfield, Massachusetts and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Agawam.

NPPES Registry Identity

NPI1811558943
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAELLY ANN RYANCredential: PA-C
Location Address1000 STATE STSpringfield, MA 01109-3151
Mailing Address1000 State St # 55Springfield, MA 01109-3151 · (443) 487-3351
Phone(413) 205-3248
Sole ProprietorNo
Enumeration DateJune 28, 2019
Last NPPES UpdateSeptember 8, 2022
NPPES CertifiedSeptember 8, 2022
✔ NPI 1811558943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1000 STATE ST, Springfield, MA 01109
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Other Names 1

Former Name (1)Kaelly Ann Miller Pa-c

Secondary Practice Location 1

Location 1230 Main StAgawam, MA 01001-1838 · Phone (413) 789-6800

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaelly Ann Ryan Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01109 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DIANA MARY KENNEY DPT
Physical Therapist (Pediatrics)
1000 STATE ST
SPRINGFIELD, MA 01109
Hampden County (413) 205-3442
KANDICE BOYD
Social Worker (Clinical)
1000 STATE ST
SPRINGFIELD, MA 01109
Hampden County (413) 205-3248
JESSICA RANIERO
Specialist/Technologist (Athletic Trainer)
1000 STATE ST
SPRINGFIELD, MA 01109
Hampden County (716) 984-3331
ALYSSA SCHERLIN MAT
Specialist/Technologist (Athletic Trainer)
1000 STATE ST
SPRINGFIELD, MA 01109
Hampden County (802) 275-2655
BRENNA SULLIVAN
Specialist/Technologist (Athletic Trainer)
1000 STATE ST
SPRINGFIELD, MA 01109
Hampden County (781) 686-5845
DR. PAUL MICHAEL QUINLAN PH.D.
Psychologist (Clinical)
1000 STATE ST, CURTIS BLAKE CENTER
SPRINGFIELD, MA 01109
Hampden County (413) 205-3420
CAITLIN KAMIDE
Specialist/Technologist (Athletic Trainer)
1000 STATE ST
SPRINGFIELD, MA 01109
Hampden County (203) 592-6353

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 Kaelly Ryan's NPI number?

The NPI number for Kaelly Ryan is 1811558943. It was assigned to this individual provider in the NPPES registry on June 28, 2019. The provider is also known as Kaelly Ann Miller Pa-C.

Where is Kaelly Ryan located?

Kaelly Ryan practices at 1000 State St, Springfield, MA 01109. The listed phone number is (413) 205-3248.

What is Kaelly Ryan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kaelly Ryan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kaelly Ryan was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.