NPIMap

Individual provider Active NPI

Kelly Anne Ryan, PA-C

  • Physician Assistant
  • Quakertown, PA
National Provider Identifier
1720339534
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA056816 Issued in PA
Practice address
1534 Park Ave Ste 210
Quakertown, PA 18951-1086
Phone
(484) 526-1735
NPI assigned
Sep 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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 MA056816 PA Primary

Addresses

Primary practice location

1534 Park Ave Ste 210
Quakertown, PA 18951-1086

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-1735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150218001250 PA Practitioner - Physician Assistant 5496904302 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

1532 Park Ave
Quakertown, PA 18951-1048

1534 Park Ave
Quakertown, PA 18951-1086

1736 Hamilton St
Allentown, PA 18104-5656
Phone (484) 526-8142

1736 W Hamilton St
Allentown, PA 18104-5656
Phone (610) 954-3571

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

3000 St Lukes Dr
Quakertown, PA 18951-1696
Phone (484) 526-3950

3151 Walbert Ave
Allentown, PA 18104-6042

501 Cetronia Rd
Allentown, PA 18104-9569

521 Cetronia Rd
Allentown, PA 18104-9569
Phone (484) 526-8142

701 Ostrum St
Fountain Hill, PA 18015-1153

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA056816PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Physician Group Inc CurrentSince Aug 8, 2022 Accepting new patients
St. Luke's Physician Group Inc. CurrentSince Aug 8, 2022 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients

Locations

501 Cetronia Rd
Ste 125
Allentown, PA 18104
Phone (484) 426-2055

2200 St Lukes Blvd
Ste 100
Easton, PA 18045
Phone (484) 526-2103

701 Ostrum St
Ste 602
Fountain Hill, PA 18015
Phone (610) 807-9400

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

1534 Park Ave
Ste 210
Quakertown, PA 18951
Phone (267) 424-8850

200 St Lukes Ln
Ste 200
Stroudsburg, PA 18360
Phone (908) 208-1838

Interoperability endpoints

  • Direct secure messaging: kelly.ryan2@slpg.direct-sluhn.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1720339534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 PARK AVE STE 210",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511086",
            "telephone_number": "484-526-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "KELLY",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quakertown, PA

Sources for this page

Verify at the official NPI Registry.