KELLEN RYAN PA
NPI 1912729831
Physician Assistant in Saratoga Springs, NY

Q: What is Kellen Ryan's NPI number?

The NPI number for Kellen Ryan is 1912729831. It was assigned to this individual provider in the NPPES registry on October 30, 2024.

Q: What is Kellen Ryan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kellen Ryan was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since October 30, 2024PECOS EnrolledAccepts Medicare Assignment

211 CHURCH ST, SARATOGA SPRINGS, NY 12866(518) 587-3222 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Kellen Ryan Pa NPPES

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

KELLEN RYAN PA (NPI 1912729831) is an individual physician assistant in Saratoga Springs, New York, licensed in New York (032029) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS, is affiliated with Saratoga Hospital, and is a graduate of Albany Medical College Of Union University (2024).

NPPES Registry Identity

NPI1912729831

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKELLEN RYANCredential: PA

Location Address211 CHURCH STSaratoga Springs, NY 12866-1090

Mailing Address3a Lace LnClifton Park, NY 12065-3605

Phone(518) 587-3222

Sole ProprietorYes

Medical School CMSAlbany Medical College Of Union UniversityGraduated 2024

Enumeration DateOctober 30, 2024

Last NPPES UpdateNovember 11, 2024

NPPES CertifiedNovember 11, 2024

✔ NPI 1912729831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 032029

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 ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 032029 (NY)

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 032029 (NY)

211 CHURCH ST, Saratoga Springs, NY 12866

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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

Kellen Ryan Pa 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 ID6507386174

PECOS Enrollment IDI20250226001468

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330222

Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12866 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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 20

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

ROBERT I GOGUEN

Counselor (Mental Health)

211 CHURCH ST, CRAMER HOUSE
SARATOGA SPRINGS, NY 12866

Saratoga County (518) 584-9030

JEAN R MISCHLER NP

Nurse Practitioner