Individual provider Active NPI

Ryane M Passno, AGACNP-BC APN, PNP-B

  • Nurse Practitioner
  • Moline, IL
National Provider Identifier
1407239478
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209013095 Issued in IL
Practice address
1100 36TH Avenue
Moline, IL 61265
Phone
(309) 743-6700
Fax
(309) 764-2042
NPI assigned
Jul 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X H113792 IA
Nurse Practitioner 363L00000X 209013095 IL Primary

Addresses

Primary practice location

1100 36TH Avenue
Moline, IL 61265

Mailing address

1236 E Rusholme St Ste 300
Davenport, IA 52803-2473
Phone (563) 324-2992

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ryane.passno@direct.genesishealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20150901003295 IL Practitioner - Nurse Practitioner 2961716667 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Mercer HospitalGroup PAC ID 4789674961, 8 clinicians
Genesis Medical Center, AledoGroup PAC ID 7315190436, 17 clinicians
Genesis Health SystemGroup PAC ID 7214841436, 217 clinicians
Advanced Physical Therapy Services, LTD.Group PAC ID 9133101462, shared by 5 NPIs, 216 clinicians

Practice addresses (Care Compare)

1007 NW 3Rd St
Aledo, IL 61231-1317

202 Picard St
Alpha, IL 61413-5023
Phone (309) 629-4601

220 SW 5TH St
Woodhull, IL 61490-5011
Phone (309) 281-2230

300 Tenney St
Kewanee, IL 61443-3452
Phone (309) 853-5500

Hospital & facility affiliations

  • Genesis Vna Home health agency, Bettendorf, IA, CCN 167012
  • Western Ill Home HLTH Care in Home health agency, Monmouth, IL, CCN 147204
  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275
  • Genesis Medical Center, Aledo Hospital, Aledo, IL, CCN 141304
  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • Trinity Rock Island Hospital, Rock Island, IL, CCN 140280

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209013095ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Jun 11, 2018 Accepting new patients
Genesis Medical Center, Aledo CurrentSince Jun 11, 2018 Accepting new patients
Genesis Health System CurrentSince Jun 11, 2018 Accepting new patients
Genesis Medical Center, Aledo CurrentSince Jun 11, 2018 Accepting new patients
Genesis Medical Center, Aledo CurrentSince Dec 7, 2025 Accepting new patients
Genesis Health System Past Accepting new patients
Genesis Medical Center, Aledo Past Accepting new patients

Locations

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1007 NW 3rd St
Aledo, IL 61231
Phone (309) 582-3701

409 NW 9th Ave
Aledo, IL 61231
Phone (309) 582-2227

202 Picard St
Alpha, IL 61413
Phone (309) 629-4601

306 46th Ave
East Moline, IL 61244
Phone (309) 796-2329

Interoperability endpoints

  • Direct secure messaging: ryane.passno@direct.genesishealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1407239478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 E RUSHOLME ST STE 300",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032473",
            "telephone_number": "563-324-2992",
            "fax_number": "563-324-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 36TH AVENUE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "61265",
            "telephone_number": "309-743-6700",
            "fax_number": "309-764-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSNO",
        "first_name": "RYANE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "AGACNP-BC APN, PNP-B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "H113792",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209013095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ryane.passno@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1007 NW 3rd St",
            "city": "Aledo",
            "state": "IL",
            "country_code": "US",
            "postal_code": "612311317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.