Individual provider Active NPI

Ryan M Klenner, PAC

  • Physician Assistant
  • Tea, SD
National Provider Identifier
1528106895
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0679 Issued in SD
Practice address
2120 Live Stronger St
Tea, SD 57064-8331
Phone
(605) 331-5890
Fax
(833) 918-2049
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0679 SD Primary

Addresses

Primary practice location

2120 Live Stronger St
Tea, SD 57064-8331

Mailing address

2120 Live Stronger St
Tea, SD 57064-8331
Phone (605) 331-5890

Other identifiers 1

IdentifierTypeStateIssuer
39006OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MN2 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

Enrollment IDStateProvider typePAC IDDetails
I20080728000221 SD Practitioner - Physician Assistant 6305949835 Reassigns benefits to 1 organization
I20090226000604 MN Practitioner - Physician Assistant 6305949835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Institute PCGroup PAC ID 1254223894, 57 clinicians

Practice addresses (Care Compare)

1101 Broadway Ave
Yankton, SD 57078-2835
Phone (605) 331-5890

1300 S Burr St
Mitchell, SD 57301-4551
Phone (605) 331-5890

1512 4TH St NE
Watertown, SD 57201-6824
Phone (605) 331-5890

172 4TH St SE
Huron, SD 57350-2510
Phone (605) 331-5890

2120 Live Stronger St
Tea, SD 57064-8331
Phone (605) 331-5890

249 5TH St E
Tracy, MN 56175-1536
Phone (888) 331-5890

510 E 8TH St
Freeman, SD 57029-2086
Phone (605) 331-5890

810 E 23Rd St
Sioux Falls, SD 57105-2135

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.01 of 100Reported as group
Quality
78.63
Promoting interoperability
100
Improvement activities
40
Cost
64.73

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10546MNMDPhysical Therapist
1290NEMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: ryan.klenner.1@21545.direct.athenahealth.com

Organizations & group practices 1

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 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1528106895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 LIVE STRONGER ST",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570648331",
            "telephone_number": "605-331-5890",
            "fax_number": "833-918-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 LIVE STRONGER ST",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570648331",
            "telephone_number": "605-331-5890",
            "fax_number": "833-918-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLENNER",
        "first_name": "RYAN",
        "middle_name": "M",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "39006",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tea, SD

Sources for this page

Verify at the official NPI Registry.