Samantha Nicole Ryan, ARNP

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

H176750 Issued in IA

Practice address

1224 13TH St NW
Cedar Rapids, IA 52405-2404

Phone

(319) 365-9171

NPI assigned

Oct 16, 2023

Last updated

Oct 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Essence of Life Hospice Hospice, Amana, IA, CCN 161580
• Hospice of Mercy Hospice, Hiawatha, IA, CCN 161512
• Suncrest Hospice Hospice, Cedar Rapids, IA, CCN 161618
• St Lukes Hospital Hospital, Cedar Rapids, IA, CCN 160045
• Meth-Wick Health Center Nursing home, Cedar Rapids, IA, CCN 165542

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sryan106865@direct.unitypoint.org

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.

• Iowa Physicians Clinic Medical Foundation

  dba UnityPoint Clinic

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274

  Geriatric Medicine

  Medicare reassignment Care Compare group NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

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

• Essence of Life LLC

  dba Essence of Life Hospice

  • Community Based Hospice Care Agency
  • Amana, IA
  • NPI 1497817803
  Care Compare affiliation
• Mercy Medical Center

  dba Hospice of Mercy

  • Community Based Hospice Care Agency
  • Hiawatha, IA
  • NPI 1033159769
  Care Compare affiliation
• Meth Wick Community

  • Skilled Nursing Facility
  • Cedar Rapids, IA
  • NPI 1497740443

  Nursing home

  Care Compare affiliation
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  Care Compare affiliation
• Suncrest Hospice Cedar Rapids, LLC

  dba Suncrest Hospice

  • Community Based Hospice Care Agency
  • Cedar Rapids, IA
  • NPI 1992535280
  Care Compare affiliation

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1760264758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 ACACIA DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524026766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 13TH ST NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524052404",
            "telephone_number": "319-365-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "SAMANTHA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IA",
            "license": "H176750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiyanna Russell
• Madia Chowdhury Russillo, MD
• Ruth Christine Gonzalez DDS PC
• Serena Lynann Ruth
• Philip Thomas Ryan, MD
• Thomas Joseph Ryan IV, MD
• Eric Ryder, T-LMFT
• William R. Ryder, DC
• Connie Rystrom, OTR/L, CHT
• S.T.L. Care Company (St. Luke's Transitional Care Center)

• Geriatric Medicine (Family Medicine) Physician in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Geriatric Medicine (Family Medicine) Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.

Verify at the official NPI Registry.