Individual provider Active NPI

Ryan Michael Lysne, PA

  • Physician Assistant
  • Spokane, WA
National Provider Identifier
1528526993
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60964856 Issued in WA
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

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 83 clinicians

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 Hospital, Odessa, WA, CCN 501307
  • Ferry County Memorial Hospital Hospital, Republic, WA, CCN 501322
  • Providence Mount Carmel Hospital Hospital, Colville, WA, CCN 501326
  • Lincoln Hospital Hospital, Davenport, WA, CCN 501305
  • Samaritan Hospital Hospital, Moses Lake, WA, CCN 500033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TA60987863WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association of Spokane CurrentSince Mar 1, 2020 Accepting new patients
Community Health Association of Spokane CurrentSince Mar 1, 2020 Accepting new patients
Northwest Orthopaedic Specialists PS CurrentSince Aug 29, 2022 Accepting new patients
Northwest Orthopaedic Specialists, P.S. CurrentSince Aug 29, 2022 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.