DR. LISA HALLIE RYAN DNP-FNP
NPI 1831615269
Nurse Practitioner - Family in Poughkeepsie, NY

Active since August 17, 2017PECOS EnrolledAccepts Medicare Assignment
104 FULTON AVE, POUGHKEEPSIE, NY 12603(201) 410-8682(201) 358-9045 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Oct 23, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Lisa Hallie Ryan Dnp-fnp NPPES

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

DR. LISA HALLIE RYAN DNP-FNP (NPI 1831615269) is an individual family provider in Poughkeepsie, New York, licensed in New York (342189) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1831615269
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. LISA HALLIE RYANCredential: DNP-FNP
Location Address104 FULTON AVEPoughkeepsie, NY 12603-2808
Mailing Address104 Fulton AvePoughkeepsie, NY 12603-2808 · (201) 410-8682 · Fax (201) 358-9045
Fax(201) 358-9045
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 17, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1831615269 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 NY · 342189
104 FULTON AVE, Poughkeepsie, NY 12603

Secondary Practice Locations 2

Location 163 Hurley AveKingston, NY 12401-2832 · Phone (845) 452-1700
Location 2187 Route 308Rhinebeck, NY 12572 · Phone (845) 452-1700

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

Dr. Lisa Hallie Ryan Dnp-fnp 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 ID3971027574
PECOS Enrollment IDI20250404000750
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 12603 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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 15

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

Pediatrics
104 FULTON AVE
POUGHKEEPSIE, NY 12603
Pediatrics
104 FULTON AVE
POUGHKEEPSIE, NY 12603
Pediatrics
104 FULTON AVE
POUGHKEEPSIE, NY 12603
Pediatrics
104 FULTON AVE
POUGHKEEPSIE, NY 12603
Nurse Practitioner (Pediatrics)
104 FULTON AVE
POUGHKEEPSIE, NY 12603
Pediatrics
104 FULTON AVE
POUGHKEEPSIE, NY 12603
Nurse Practitioner (Pediatrics)
104 FULTON AVE
POUGHKEEPSIE, NY 12603
Pediatrics
104 FULTON AVE
POUGHKEEPSIE, NY 12603

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 1831615269. It was assigned to this individual provider in the NPPES registry on August 17, 2017.

Where is Lisa Ryan located?

Lisa Ryan practices at 104 Fulton Ave, Poughkeepsie, NY 12603. The listed phone number is (201) 410-8682.

What is Lisa Ryan's specialty?

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

Is Lisa Ryan enrolled in Medicare?

Yes. Lisa Ryan 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.

When was this NPI record last updated?

The NPPES record for Lisa Ryan was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.