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

Q: 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.

Q: What is Ryan Lish's specialty?

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

Q: When was this NPI record last updated?

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

Active since August 21, 2025PECOS Enrolled

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: July 19, 2026.

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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.

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

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 (PECOS)

Ryan Wesley Lish Pa 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.

Other Providers at the Same Location NPPES 5

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

MRS. CHELSEA M FARNSWORTH APRN-CNP, CNE, FNP-C

Nurse Practitioner (Family)