Individual provider Active NPI

Nancy Lynn Ryder, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1720064074
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R118781-2 Issued in MN
Practice address
2800 10TH Ave S Ste 2200
Hospital Pathology Assoc
Minneapolis, MN 55407-1311
Phone
(612) 767-8370
Fax
(612) 767-8376
NPI assigned
Dec 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R118781-2 MN Primary

Addresses

Primary practice location

2800 10TH Ave S Ste 2200
Hospital Pathology Assoc
Minneapolis, MN 55407-1311

Mailing address

2800 10TH Ave S Ste 2200
Hospital Pathology Assoc
Minneapolis, MN 55407-1311
Phone (612) 767-8370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20060112000172 MN Practitioner - Nurse Practitioner 8921021239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Pathology Associates, PAGroup PAC ID 2668464652, 47 clinicians

Practice addresses (Care Compare)

800 E 28TH St
Minneapolis, MN 55407-3723
Phone (612) 863-4670

Hospital & facility affiliations

  • Abbott Northwestern Hospital Hospital, Minneapolis, MN, CCN 240057
  • Allina United Hospital Hospital, Saint Paul, MN, CCN 240038
  • Mercy Hospital Hospital, Coon Rapids, MN, CCN 240115
  • St Francis Regional Medical Center Hospital, Shakopee, MN, CCN 240104
  • New Ulm Medical Center Hospital, New Ulm, MN, CCN 241378

Merit-based Incentive Payment System (MIPS)

Final score
78.75 of 100Reported as group
Quality
75
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R118781-2MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Pathology Associates PA CurrentSince Apr 11, 2012 Accepting new patients

Locations

2800 10th Ave S
Ste 2200
Minneapolis, MN 55407
Phone (612) 767-8370

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

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 48

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

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1720064074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 10TH AVE S STE 2200",
            "address_2": "HOSPITAL PATHOLOGY ASSOC",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071311",
            "telephone_number": "612-767-8370",
            "fax_number": "612-767-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 10TH AVE S STE 2200",
            "address_2": "HOSPITAL PATHOLOGY ASSOC",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071311",
            "telephone_number": "612-767-8370",
            "fax_number": "612-767-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDER",
        "first_name": "NANCY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R118781-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.