Individual provider Active NPI

Nichole M. Ryba, PA

  • Physician Assistant
  • Sinking Spring, PA
National Provider Identifier
1073881033
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA055132 Issued in PA
Practice address
2913 Windmill Rd Ste 7
Sinking Spring, PA 19608-1680
Phone
(610) 288-2908
Fax
(610) 898-4832
NPI assigned
Dec 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA055132 PA Primary

Addresses

Primary practice location

2913 Windmill Rd Ste 7
Sinking Spring, PA 19608-1680

Mailing address

2913 Windmill Rd Ste 7
Sinking Spring, PA 19608-1680
Phone (610) 288-2908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120813000761 PA Practitioner - Physician Assistant 7012184831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania Dermatology Partners IncGroup PAC ID 3274794268, 75 clinicians

Practice addresses (Care Compare)

5649 Wynnewood Dr
Suite 202
Laurys Station, PA 18059-1124
Phone (610) 770-2708

Merit-based Incentive Payment System (MIPS)

Final score
89.52 of 100Reported as group
Quality
87.67
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Dermatology of Pennsylvania, PC Past Accepting new patients
Robert I. Rudolph, M.D. LTD Past Accepting new patients
Ingrid P Warmuth M D P a Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nflannery@pennderm.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1073881033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 WINDMILL RD STE 7",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196081680",
            "telephone_number": "610-288-2908",
            "fax_number": "610-898-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 WINDMILL RD STE 7",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196081680",
            "telephone_number": "610-288-2908",
            "fax_number": "610-898-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBA",
        "first_name": "NICHOLE",
        "middle_name": "M.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-06",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sinking Spring, PA

Sources for this page

Verify at the official NPI Registry.