Individual provider Active NPI

Matthew P Ryan, NP

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1235757436
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
29914 Issued in TN
Practice address
9430 Park West Blvd Ste 130
Knoxville, TN 37923-4205
Phone
(865) 690-4861
Fax
(865) 560-8525
NPI assigned
Jul 14, 2020
Last updated
Oct 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 220175 TN
Nurse Practitioner 363L00000X 29914 TN Primary

Addresses

Primary practice location

9430 Park West Blvd Ste 130
Knoxville, TN 37923-4205

Mailing address

PO Box 306556
Nashville, TN 37230-6556
Phone (865) 243-8153

Other practice location 1

576 Ft Loudoun Med Ctr Dr Ste 100
Lenoir City, TN 37772-5676
Phone (865) 988-8837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210824000657 TN Practitioner - Nurse Practitioner 2466857867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Orthopaedic Alliance PAGroup PAC ID 5193625069, 358 clinicians

Practice addresses (Care Compare)

576 Ft Loudoun Med Ctr Dr
Suite 100
Lenoir City, TN 37772-5676
Phone (865) 988-8667

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
65.3
Promoting interoperability
96
Improvement activities
40
Cost
77.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
220175TNMDRegistered Nurse
29914TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA CurrentSince Aug 16, 2021 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Aug 16, 2021 Accepting new patients
Tennessee Orthopaedic Alliance PA Past Accepting new patients

Locations

4882 Harvest Mill Way
Knoxville, TN 37918
Phone (865) 560-8550

6484 Kingston Pike
Knoxville, TN 37919
Phone (865) 633-0235

9430 Park West Blvd
Ste 130
Knoxville, TN 37923
Phone (865) 694-8353

576 Fort Loudoun Med Center Dr
Ste 100
Lenoir City, TN 37772
Phone (865) 988-8667

608 Norris Ave
Nashville, TN 37204

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

961 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 483-1906

988 Oak Ridge Tpke
Ste 100
Oak Ridge, TN 37830
Phone (865) 483-8478

1679 Veterans Blvd
Sevierville, TN 37862
Phone (865) 633-0256

Interoperability endpoints

  • Direct secure messaging: matthewp.ryan.p2@direct.toa.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1235757436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306556",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306556",
            "telephone_number": "865-243-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 PARK WEST BLVD STE 130",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234205",
            "telephone_number": "865-690-4861",
            "fax_number": "865-560-8525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "576 Ft Loudoun Med Ctr Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lenoir City",
            "state": "TN",
            "postal_code": "377725676",
            "country_code": "US",
            "telephone_number": "865-988-8837",
            "fax_number": "865-988-8667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "MATTHEW",
        "middle_name": "P",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-14",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "220175",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "29914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.