Active NPI
Matthew P Ryan, NP
- Nurse Practitioner
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 29914
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 220175 | TN | MD | Registered Nurse |
| 29914 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Orthopaedic Alliance PA | Current | Accepting new patients | |
| Tennessee Orthopaedic Alliance PA | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Nashville, TN
- NPI 1538153937
-
- Multi-Specialty Clinic/Center
- Clarksville, TN
- NPI 1336905561
-
dba Tennessee Orthopaedic Alliance
- Orthopaedic Surgery Physician
- Smyrna, TN
- NPI 1205820610
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.