Individual provider Active NPI

Jane Greene Ryan, RN, PHD, PMHNP,

  • Psychiatric/Mental Health Nurse Practitioner
  • Merion Station, PA
National Provider Identifier
1710696760
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP026956 Issued in PA
Practice address
158 Idris Rd
Merion Station, PA 19066-1611
Phone
(267) 258-5920
NPI assigned
Nov 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR07579100 NJ
Registered Nurse 163W00000X RN292626L PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01369200 NJ
Nurse Practitioner 363L00000X MJ0485133 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP026956 PA Primary

Addresses

Primary practice location

158 Idris Rd
Merion Station, PA 19066-1611

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other practice location 1

104 Forrest Ave # 5
Narberth, PA 19072-2215
Phone (267) 258-5920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20230422000143 NJ Practitioner - Nurse Practitioner 5092170217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CMC Psychiatric Associates PCGroup PAC ID 2264401686, 38 clinicians

Practice addresses (Care Compare)

6100 Main St
Voorhees, NJ 08043-4643
Phone (856) 342-2328

Merit-based Incentive Payment System (MIPS)

Final score
96.42 of 100Reported as group
Quality
98.77
Promoting interoperability
99
Improvement activities
40
Cost
62.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Psychiatric Associates, PC CurrentSince Dec 19, 2022 Accepting new patients

Locations

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

6100 Main St
Voorhees, NJ 08043
Phone (856) 673-4912

Interoperability endpoints

  • Direct secure messaging: jgreeneryan34621@direct.cooperhealth.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1710696760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 IDRIS RD",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661611",
            "telephone_number": "267-258-5920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Forrest Ave # 5",
            "address_purpose": "LOCATION",
            "city": "Narberth",
            "state": "PA",
            "postal_code": "190722215",
            "country_code": "US",
            "telephone_number": "267-258-5920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JANE",
        "middle_name": "GREENE",
        "name_prefix": "Dr.",
        "credential": "RN, PHD, PMHNP,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR07579100",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN292626L",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01369200",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "MJ0485133",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP026956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merion Station, PA

Sources for this page

Verify at the official NPI Registry.