JEANNA TACHIKI RYAN RD
NPI 1912316654
Physician Assistant in Murray, UT

Active since August 07, 2014PECOS EnrolledAccepts Medicare Assignment
243 E 6100 S, MURRAY, UT 84107(801) 414-8890 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2021, Dec 19, 2018 (2 updates tracked since 2018).

About Jeanna Tachiki Ryan Rd NPPES

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

JEANNA TACHIKI RYAN RD (NPI 1912316654) is an individual physician assistant in Murray, Utah and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1912316654
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJEANNA TACHIKI RYANCredential: RD
Location Address243 E 6100 SMurray, UT 84107-7302
Mailing Address2330 E Caprice CtHolladay, UT 84124-6800 · (801) 414-8890
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 7, 2014
Last NPPES UpdateNovember 17, 20212 updates tracked since enumeration
NPPES CertifiedNovember 17, 2021
NPI 1912316654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedDermatologyTaxonomy 207N00000X · License 87742931206 (UT)
243 E 6100 S, Murray, UT 84107

Other Names 1

Former Name (1)Jeanna Hanako Tachiki Rd

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

Jeanna Tachiki Ryan Rd 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 ID2466790456
PECOS Enrollment IDI20190218001498
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 84107 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 16

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

Pharmacy (Clinic Pharmacy)
243 E 6100 S
MURRAY, UT 84107
Dermatology
243 E 6100 S
MURRAY, UT 84107
Dermatology
243 E 6100 S
MURRAY, UT 84107
Dermatology
243 E 6100 S
SALT LAKE CITY, UT 84107
Dermatology
243 E 6100 S
MURRAY, UT 84107
Dermatology
243 E 6100 S
MURRAY, UT 84107
Dermatology
243 E 6100 S
MURRAY, UT 84107
Optometrist
243 E 6100 S
MURRAY, UT 84107

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 Jeanna Ryan's NPI number?

The NPI number for Jeanna Ryan is 1912316654. It was assigned to this individual provider in the NPPES registry on August 7, 2014. The provider is also known as Jeanna Hanako Tachiki Rd.

Where is Jeanna Ryan located?

Jeanna Ryan practices at 243 E 6100 S, Murray, UT 84107. The listed phone number is (801) 414-8890.

What is Jeanna Ryan's specialty?

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

Is Jeanna Ryan enrolled in Medicare?

Yes. Jeanna 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 Jeanna Ryan was last updated on November 17, 2021. 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.