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MRS. LISA MARIE RYAN AGPCNP-BC
NPI 1831531045
Nurse Practitioner - Gerontology in North Easton, MA

Active since July 29, 2013PECOS Enrolled
320 WASHINGTON ST, NORTH EASTON, MA 02357(508) 565-1307 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Lisa Marie Ryan Agpcnp-bc NPPES

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

MRS. LISA MARIE RYAN AGPCNP-BC (NPI 1831531045) is an individual gerontology provider in North Easton, Massachusetts, licensed in Massachusetts (2013011857) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brockton.

NPPES Registry Identity

NPI1831531045
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. LISA MARIE RYANCredential: AGPCNP-BC
Location Address320 WASHINGTON STNorth Easton, MA 02357-1168
Mailing Address142 Milton StDorchester, MA 02124-5327 · (781) 956-2666
Phone(508) 565-1307
Sole ProprietorNo
Enumeration DateJuly 29, 2013
Last NPPES UpdateOctober 1, 2020
NPPES CertifiedOctober 1, 2020
✔ NPI 1831531045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MA · 2013011857
320 WASHINGTON ST, North Easton, MA 02357
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Secondary Practice Location 1

Location 11 Pearl St Ste 2400Brockton, MA 02301-2865 · Phone (508) 897-6130

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lisa Marie Ryan Agpcnp-bc 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 Lisa Ryan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Revere Medical Of Massachusetts, PC
2.4 mi
Internal Medicine
1 PEARL ST STE 2100
Brockton, MA 02301
  • Reassigned Medicare billing, Massachusetts enrollment
  • 264 clinicians in this Medicare group
NPI 1336976539 (508) 897-6040
Steward Medical Group, Inc
22 mi
Specialist
9 GALEN ST
Watertown, MA 02472
  • Reassigned Medicare billing, Massachusetts enrollment
  • 991 clinicians in this Medicare group
NPI 1629398219 (615) 467-4474

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 02357 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
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 13

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

MR. PETER KRYSKO MED, LATC
Specialist/Technologist (Athletic Trainer)
320 WASHINGTON ST
NORTH EASTON, MA 02357
Bristol County (508) 565-1514
KATIE MCCOY TELLER PA
Physician Assistant (Medical)
320 WASHINGTON ST
NORTH EASTON, MA 02357
Bristol County (508) 565-1307
KAYLA ANN CULLERTON M.ED, M.S, LAT, ATC
Specialist/Technologist (Athletic Trainer)
320 WASHINGTON ST
NORTH EASTON, MA 02357
Bristol County (508) 565-1592
CAITLIN S REISMAN FNP-BC
Nurse Practitioner (Family)
320 WASHINGTON ST
NORTH EASTON, MA 02357
Bristol County (508) 565-1307
MARIA ANGELA KAVANAUGH LICSW
Social Worker (Clinical)
320 WASHINGTON ST
NORTH EASTON, MA 02357
Bristol County (508) 565-1331
PETER JAMES ARCHETTO MS LAT ATC CSCS
Specialist/Technologist (Athletic Trainer)
320 WASHINGTON ST
NORTH EASTON, MA 02357
Bristol County (774) 571-9865
VALERIE MARIE ECKENROTH ATC
Specialist/Technologist (Athletic Trainer)
320 WASHINGTON ST
NORTH EASTON, MA 02357
Bristol County (508) 565-1592
KATHERINE MARIE VAMOSI
Specialist/Technologist (Athletic Trainer)
320 WASHINGTON ST
NORTH EASTON, MA 02357
Bristol County (508) 565-1359

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 Lisa Ryan's NPI number?

The NPI number for Lisa Ryan is 1831531045. It was assigned to this individual provider in the NPPES registry on July 29, 2013.

Where is Lisa Ryan located?

Lisa Ryan practices at 320 Washington St, North Easton, MA 02357. The listed phone number is (508) 565-1307.

What is Lisa Ryan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Lisa Ryan enrolled in Medicare?

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

Which organizations bill Medicare for Lisa Ryan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Ryan reassigns Medicare benefits to 2 organizations: Revere Medical Of Massachusetts, PC (Brockton, MA) and Steward Medical Group, Inc (Watertown, MA). 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 Lisa Ryan'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 Lisa Ryan was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.