Michelle Ryder, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1429 Issued in NH

Practice address

784 Central Ave
Dover, NH 03820-2549

Phone

(603) 742-5556

Fax

(603) 742-8668

NPI assigned

May 23, 2008

Last updated

Sep 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Group practices

Campbell Dermatology PAGroup PAC ID 9537154059, 19 clinicians

Gary Mendese MD LLCGroup PAC ID 8123431210, 3 clinicians

Dermatology and Skin Health LLCGroup PAC ID 8527439876, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90 of 100Reported as individual

Quality

80

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Campbell Dermatology PA

  • Dermatology Physician
  • Dover, NH
  • NPI 1144376997
  Medicare reassignment Care Compare group
• Dermatology and Skin Health LLC

  • Dermatology Physician
  • Peabody, MA
  • NPI 1184341562
  Medicare reassignment Care Compare group
• Gary Mendese, MD, LLC

  • Procedural Dermatology Physician
  • Peabody, MA
  • NPI 1194341362
  Medicare reassignment Care Compare group
• Waldman Plastic Surgery and Dermatology, PLLC

  • Plastic Surgery Physician
  • Nashua, NH
  • NPI 1376736330
  NPD (past)
• Boston University General Surgical Associates, Inc.

  • Surgery Physician
  • Boston, MA
  • NPI 1104865567
  NPD (past)
• Premier Diagnostic Services, Inc

  • Sonography Radiologic Technologist
  • Stoughton, MA
  • NPI 1659377802
  NPD (past)
• Riverside Medical Group PC

  • Internal Medicine Physician
  • Lowell, MA
  • NPI 1508821646
  NPD (past)

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1487812780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202549",
            "telephone_number": "603-742-5556",
            "fax_number": "603-742-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDER",
        "first_name": "MICHELLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA1005",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1429",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "1005",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Rush
• Ruby Rush, LICSW
• Jeffrey Russell, MD
• Katelyn Russell, PT, DPT
• Tressa Renee Ryan, MSW, LICSW
• Sage and Stone Integrative Therapy LLC.
• Sachin Saksena, M.D.
• Justine Emelia Salema, M.S. CCC- SLP
• Sabrina Salmela, MS, CF-SLP
• Janet Salsbury, LICSW

• Physician Assistant in Dover, NH
• Providers in Dover, NH by specialty
• Physician Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.