Individual provider Active NPI

Grant Rynn

  • Physician Assistant
  • Vail, CO
National Provider Identifier
1831643188
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
181 W Meadow Dr
Vail, CO 81657-5242
Phone
(970) 479-5036
NPI assigned
Aug 3, 2016
Last updated
Nov 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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 Primary

Addresses

Primary practice location

181 W Meadow Dr
Vail, CO 81657-5242

Mailing address

PO Box 40000
Vail, CO 81658-7520
Phone (970) 479-5036

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VVMC.DIRECT@direct.vvmc.com Health Information Exchange (HIE) VVMC Diversified Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20170217001392 CO Practitioner - Physician Assistant 6901189992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VVMC Diversified ServicesGroup PAC ID 8628145414, 16 clinicians

Practice addresses (Care Compare)

181 W Meadow Dr
Vail, CO 81657-5242
Phone (970) 476-2451

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.87 of 100Reported as group
Quality
58.69
Promoting interoperability
97
Improvement activities
40
Cost
70.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VVMC Diversified Services CurrentSince Jul 1, 2017 Accepting new patients
VVMC Diversified Services CurrentSince Jul 1, 2017 Accepting new patients
Premier Emergency Services, Inc CurrentSince Nov 16, 2017 Accepting new patients
VVMC Diversified Services Past Accepting new patients
Usacs of Colorado Inc Past Accepting new patients

Locations

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 476-8872

2551 W 84th Ave
Westminster, CO 80031
Phone (303) 202-1280

Interoperability endpoints

  • Direct secure messaging: vvmc.direct@direct.vvmc.com

Organizations & group practices 7

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 5

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": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1831643188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40000",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816587520",
            "telephone_number": "970-479-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W MEADOW DR",
            "city": "VAIL",
            "state": "CO",
            "postal_code": "816575242",
            "telephone_number": "970-479-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYNN",
        "first_name": "GRANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-03",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VVMC.DIRECT@direct.vvmc.com",
            "affiliation": "Y",
            "affiliationName": "VVMC Diversified Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "181 W Meadow Dr",
            "city": "Vail",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816575242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vail, CO

Sources for this page

Verify at the official NPI Registry.