Active NPI
Ryan Michael Lysne, PA
- Physician Assistant
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60964856
- Practice address
- 601 W 5TH Ave Ste 400
Spokane, WA 99204-2715 - Phone
- (509) 344-2663
- Fax
- (509) 624-9179
- NPI assigned
- Mar 5, 2019
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TA60987863 | WA | |
| Physician Assistant | 363A00000X | PA60964856 | WA | Primary |
Addresses
Primary practice location
601 W 5TH Ave Ste 400
Spokane, WA 99204-2715
Mailing address
601 W 5TH Ave Ste 400
Spokane, WA 99204-2715
Phone (509) 344-2663
Other practice location 1
4320 S Williamson Ln
Spokane, WA 99223-1207
Phone (509) 499-3253
Other practice location 2
101 W 8th Ave
Spokane, WA 99204-2307
Phone (509) 474-3131
Other practice location 3
817 S Perry St Unit B
Spokane, WA 99202
Phone (509) 444-8200
Other practice location 4
5921 N Market St
Spokane, WA 99208-2484
Phone (509) 444-8888
Other practice location 5
601 W 5th Ave Ste 500
Spokane, WA 99204-2756
Phone (509) 344-8672
Other practice location 6
601 W 5th Ave Ste 500
Spokane, WA 99204-2756
Phone (509) 344-8672
Other practice location 7
601 W 5th Ave Ste 500
Spokane, WA 99204-2756
Phone (509) 344-8672
Other practice location 8
601 W 5th Ave Ste 500
Spokane, WA 99204-2756
Phone (509) 344-8672
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200420002038 | WA | Practitioner - Physician Assistant | 1355771106 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Northwest Orthopaedic Specialists PS
Practice addresses (Care Compare)
12410 E Sinto Ave
Suite 101
Spokane Valley, WA 99216-2258
Phone (509) 789-2955
601 W 5TH Ave
Suite 400
Spokane, WA 99204-2715
Phone (509) 344-2663
Hospital & facility affiliations
- Odessa Memorial Healthcare Center
- Ferry County Memorial Hospital
- Providence Mount Carmel Hospital
- Lincoln Hospital
- Samaritan Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA60987863 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Association of Spokane | Current | Accepting new patients | |
| Community Health Association of Spokane | Current | Accepting new patients | |
| Northwest Orthopaedic Specialists PS | Current | Accepting new patients | |
| Northwest Orthopaedic Specialists, P.S. | Current | Accepting new patients |
Locations
611 N Iron Bridge Way
Spokane, WA 99202
601 W 5th Ave
Ste 500
Spokane, WA 99204
Phone (509) 344-2663
5921 N Market St
Spokane, WA 99208
Phone (509) 487-1604
817 S Perry St
Unit B
Spokane, WA 99202
Phone (509) 462-6575
601 W 5th Ave
Ste 100
Spokane, WA 99204
Phone (509) 343-3907
1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205
601 W 5th Ave
Ste 400
Spokane, WA 99204
Phone (509) 344-2663
101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181
12410 E Sinto Ave
Ste 101
Spokane Valley, WA 99216
Phone (509) 789-2955
Interoperability endpoints
- ryan.lysne.1@16598.direct.athenahealth.com
Organizations & group practices 10
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.
-
- Ambulatory Surgical Clinic/Center
- Spokane, WA
- NPI 1265401202
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1326005851
WA
-
- Orthopaedic Surgery Physician
- Spokane, WA
- NPI 1184259871
-
- Orthopaedic Surgery Physician
- Spokane Valley, WA
- NPI 1184271959
-
- Orthopaedic Surgery Physician
- Spokane, WA
- NPI 1336796119
-
- Orthopaedic Surgery Physician
- Spokane, WA
- NPI 1811522501
-
- Orthopaedic Surgery Physician
- Spokane Valley, WA
- NPI 1861147548
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1679363592
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1871704783
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Republic, WA
- NPI 1508899816
Hospital
-
- General Acute Care Hospital
- Moses Lake, WA
- NPI 1902818883
Hospital
-
- Critical Access Hospital
- Odessa, WA
- NPI 1073524690
Hospital
-
- Critical Access Hospital
- Colville, WA
- NPI 1003067679
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1528526993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 W 5TH AVE STE 400",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042715",
"telephone_number": "509-344-2663",
"fax_number": "509-624-9179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 W 5TH AVE STE 400",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042715",
"telephone_number": "509-344-2663",
"fax_number": "509-624-9179"
}
],
"practiceLocations": [
{
"address_1": "4320 S Williamson Ln",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992231207",
"country_code": "US",
"telephone_number": "509-499-3253",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 W 8th Ave",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992042307",
"country_code": "US",
"telephone_number": "509-474-3131",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "817 S Perry St Unit B",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "99202",
"country_code": "US",
"telephone_number": "509-444-8200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5921 N Market St",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992082484",
"country_code": "US",
"telephone_number": "509-444-8888",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 W 5th Ave Ste 500",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992042756",
"country_code": "US",
"telephone_number": "509-344-8672",
"fax_number": "509-747-7838",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 W 5th Ave Ste 500",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992042756",
"country_code": "US",
"telephone_number": "509-344-8672",
"fax_number": "509-747-7838",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 W 5th Ave Ste 500",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992042756",
"country_code": "US",
"telephone_number": "509-344-8672",
"fax_number": "509-747-7838",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 W 5th Ave Ste 500",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992042756",
"country_code": "US",
"telephone_number": "509-344-8672",
"fax_number": "509-747-7838",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYSNE",
"first_name": "RYAN",
"middle_name": "MICHAEL",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-05",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "TA60987863",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60964856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.