Ryan Wesley Lish, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

1309 Blue Lakes Blvd N
Twin Falls, ID 83301-3310

Phone

(208) 933-4442

Fax

(208) 933-4273

NPI assigned

Aug 21, 2025

Sex

Male

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 ID

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

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urgent Care of Idaho LLCGroup PAC ID 8527381136, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Urgent Care of Idaho, LLC

  • Urgent Care Clinic/Center
  • Jerome, ID
  • NPI 1538578687
  Medicare reassignment Care Compare group NPD
• Urgent Care of Idaho, LLC

  • Urgent Care Clinic/Center
  • Burley, ID
  • NPI 1841972122
  NPD

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1922986744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 MAGNOLIA AVE",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016210",
            "telephone_number": "208-244-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 BLUE LAKES BLVD N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013310",
            "telephone_number": "208-933-4442",
            "fax_number": "208-933-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISH",
        "first_name": "RYAN",
        "middle_name": "WESLEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Lincoln, CST
• Stephen Ray Lincoln, DDS
• Corey Alan Lindberg, D.O.
• Benjamin Wayne Linker, PHARMD
• Zachary Linn, DPT
• Brent Little, DPT
• David Brent Little, PT
• Tiara Littledyke, LCSW
• McKayla Ann Lively Surrett, APRN-CNP
• Jessica Lively, RN, BSN

• Medical Physician Assistant in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Medical Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.