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Active NPI 1760081962 Individual Practitioner Male Practitioner

Thomas P Ryan , NP

Nurse Practitioner • Coeur D Alene, ID

Professional Overview & Biography Verified Profile Summary

Thomas Ryan, NP is a registered healthcare professional specializing in Nurse Practitioner in Coeur D Alene, ID. Practice services are available at 700 W IRONWOOD DR STE 378 under active NPI credentials.

Frequently performed procedures and clinical services include critical care, first, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

700 W Ironwood Dr Ste 378

Coeur D Alene, ID 838144401

Telephone 2086253555
Fax 2086251494
Associated Practice Facility / Clinic
🏢 St. Mary's Hospital, Inc. Facility NPI 1841292307

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Coeur D Alene, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 9.9 Yrs
Regional Practice Density
96 Specialists

Practicing in Coeur D Alene, ID (602 Statewide)

Telehealth Adoption Rate
15.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99291 Critical care, first 30-74 minutes
17 11 $424.00 $171.50

Medical Specialties & State Licenses

CMS Verified: 2024-04-26
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License ID NP69133

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License TX 96119

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dob
7161988 (TN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Sydney Disselkamp , FNP

Nurse Practitioner

NPI 1023604089

Family Nurse Practitioner

Bree Ferguson

Physician Assistant - Medical

NPI 1063061331
Dr. Amanda Liggett , MD

Internal Medicine - Pulmonary Disease

NPI 1063856151

Doctor of Medicine (M.D.)

Dr. Forrest Jespersen , MD

Internal Medicine - Pulmonary Disease

NPI 1245659143

Doctor of Medicine (M.D.)

Dr. Chad Brizendine , MD

Internal Medicine - Pulmonary Disease

NPI 1376991802

Doctor of Medicine (M.D.)

Bryan Garrett , ARNP

Nurse Practitioner - Critical Care Medicine

NPI 1447820188

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location October 07, 2021

Registered at 700 W IRONWOOD DR STE 378, COEUR D ALENE, ID 838144401 (Tel: 2086253555)

📍
Updated Business Mailing Address October 07, 2021

Registered at 2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 838146051 (Tel: 2086253555)

NPI Profile Active October 20, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 20, 2020

Registered at 4835 LYNDON B JOHNSON FWY STE 900, DALLAS, TX 752446001 (Tel: 4694205527)

📍
Updated Business Mailing Address October 20, 2020

Registered at 7535 VINTAGE POINTE WAY APT 1032, POWELL, TN 378495599 (Tel: 2035588433)

👤
Provider Name / Credentials Updated October 20, 2020

Recorded as THOMAS RYAN, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2020

Nurse Practitioner (License #96119 in TX)

🟢
Initial NPI Registration & Enumeration October 20, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760081962
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2020
Last Update: April 26, 2024
Sole Proprietor: No

Mailing Address

2003 Kootenai Health Way

Coeur D Alene, ID 838146051

Phone: 2086253555

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.