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RYAN WESLEY LISH PA
NPI 1922986744
Physician Assistant - Medical in Twin Falls, ID

Active since August 21, 2025PECOS EnrolledAccepts Medicare Assignment
1309 BLUE LAKES BLVD N, TWIN FALLS, ID 83301(208) 933-4442(208) 933-4273 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ryan Wesley Lish Pa NPPES

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

RYAN WESLEY LISH PA (NPI 1922986744) is an individual medical provider in Twin Falls, Idaho and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1922986744
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameRYAN WESLEY LISHCredential: PA
Location Address1309 BLUE LAKES BLVD NTwin Falls, ID 83301-3310
Mailing Address531 Magnolia AveTwin Falls, ID 83301-6210 · (208) 244-4013
Phone(208) 933-4442
Fax(208) 933-4273
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1922986744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1309 BLUE LAKES BLVD N, Twin Falls, ID 83301
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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

Ryan Wesley Lish 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 ID2769975762
PECOS Enrollment IDI20251206000427
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.

Other Providers at the Same Location NPPES 6

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

SARAH REINEKE
Physician Assistant (Medical)
1309 BLUE LAKES BLVD N
TWIN FALLS, ID 83301
Twin Falls County (208) 933-4442
MRS. CHELSEA M FARNSWORTH APRN-CNP, CNE, FNP-C
Nurse Practitioner (Family)
1309 BLUE LAKES BLVD N
TWIN FALLS, ID 83301
Twin Falls County (208) 933-4440
CEDAR PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
1309 BLUE LAKES BLVD N
TWIN FALLS, ID 83301
Twin Falls County (801) 809-2656
URGENT CARE OF IDAHO, LLC
Clinic/Center (Urgent Care)
1309 BLUE LAKES BLVD N
TWIN FALLS, ID 83301
Twin Falls County (208) 933-4442
SCOTT BRUCE EVANS
Physician Assistant
1309 BLUE LAKES BLVD N
TWIN FALLS, ID 83301
Twin Falls County (208) 933-4442
URGENT CARE OF IDAHO, LLC
Clinic/Center (Urgent Care)
1309 BLUE LAKES BLVD N
TWIN FALLS, ID 83301
Twin Falls County (208) 933-4442

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 Ryan Lish's NPI number?

The NPI number for Ryan Lish is 1922986744. It was assigned to this individual provider in the NPPES registry on August 21, 2025.

Where is Ryan Lish located?

Ryan Lish practices at 1309 Blue Lakes Blvd N, Twin Falls, ID 83301. The listed phone number is (208) 933-4442.

What is Ryan Lish's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ryan Lish enrolled in Medicare?

Yes. Ryan Lish 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 Ryan Lish was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.