Active NPI
Courtney Jo Ryan, CNP
- Primary Care Nurse Practitioner
- Cambridge, OH
National Provider Identifier
1255868162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- APRN.CNP.020713
- Practice address
- 1325 Clark St
Cambridge, OH 43725-9614 - Phone
- (740) 630-9708
- Fax
- (740) 630-9709
- NPI assigned
- May 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 020713 | OH | |
| Primary Care Nurse Practitioner | 363LP2300X | APRN.CNP.020713 | OH | Primary |
Addresses
Primary practice location
1325 Clark St
Cambridge, OH 43725-9614
Mailing address
5400 Frantz Rd Ste 250
Dublin, OH 43016-6102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1325 Clark St
Cambridge, OH 43725-9614
Phone (740) 630-9708
Hospital & facility affiliations
- Southeastern Ohio Regional Medical Center
- Genesis Hospital
- Barnesville Hospital Association, Inc
- Riverside Methodist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.04 of 100
- Quality
- 58.67
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020713 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohiohealth Corporation | Single Specialty | Current | Accepting new patients |
| Ohiohealth Corporation | Single Specialty | Current | Accepting new patients |
| Ohiohealth Corporation | Current | Accepting new patients |
Locations
1325 Clark St
Cambridge, OH 43725
Phone (740) 630-9708
393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108
Dept L3652
Columbus, OH 43260
5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161
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 and National Provider Directory roles.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Columbus, OH
- NPI 1265627301
Single Specialty
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Barnesville, OH
- NPI 1235135450
-
- General Acute Care Hospital
- Zanesville, OH
- NPI 1598868655
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1467484972
-
- Rural Acute Care Hospital
- Cambridge, OH
- NPI 1346247350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517529600000",
"number": "1255868162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 FRANTZ RD STE 250",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430166102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 CLARK ST",
"city": "CAMBRIDGE",
"state": "OH",
"postal_code": "437259614",
"telephone_number": "740-630-9708",
"fax_number": "740-630-9709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "COURTNEY",
"middle_name": "JO",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-23",
"last_updated": "2018-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "020713",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "OH",
"license": "APRN.CNP.020713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; 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.