Ryan Andrew Nussbaum, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2739 Issued in OK

Practice address

2488 E 81St St Ste 290
Tulsa, OK 74137-4265

Phone

(918) 494-2665

Fax

(918) 927-3193

NPI assigned

Dec 19, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Orthopedics of Oklahoma PLLCGroup PAC ID 8426320912, 90 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oklahoma Surgical Hospital, LLC Hospital, Tulsa, OK, CCN 370210

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ryan.nussbaumpac.p8@direct.nextcare.nextgenshare.com
• FHIR API: https://fhir4.healow.com/fhir/r4/HGJHAD

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

• Advanced Orthopedics of Oklahoma PLLC

  • Orthopaedic Surgery Physician
  • Tulsa, OK
  • NPI 1235676453
  Medicare reassignment Care Compare group
• Medical Resource Management, LLC

  dba Access Medical Center

  • Urgent Care Clinic/Center
  • Edmond, OK
  • NPI 1104056365
  Medicare reassignment
• Advanced Orthopedics of Oklahoma PLLC

  dba Advanced Orthopedics of Oklahoma

  • Orthopaedic Surgery Physician
  • Owasso, OK
  • NPI 1104663996
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Oklahoma Surgical Hospital, LLC

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1487651857
  Care Compare affiliation

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1093259509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 E 81ST ST STE 290",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374299",
            "telephone_number": "918-494-2665",
            "fax_number": "918-927-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2488 E 81ST ST STE 290",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374265",
            "telephone_number": "918-494-2665",
            "fax_number": "918-927-3193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9716 Riverside Pkwy",
            "address_2": "suite 100",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741377447",
            "country_code": "US",
            "telephone_number": "918-299-4333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUSSBAUM",
        "first_name": "RYAN",
        "middle_name": "ANDREW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-19",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "2739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200686580A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Lou Nurriestearns, LCSW
• Nurse Practitioner Services of Oklahoma
• Nurtured in Natural Environments Ranch, LLC (9Ranch)
• Rebecca Michelle Nuss, MD
• Charlee Nussbaum, PTA
• Steven L. Nussbaum, D.O.
• Nutrition Care, LLC
• Nutrition Consultants of Tulsa, LLC
• Nutrition Specialists of Northeastern Oklahoma
• Samantha Nuttall, LCSW

• Physician Assistant in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.