BLAIR RYAN – Certified Registered Nurse Anesthetist, NPI 1114440161

BLAIR RYAN is a healthcare provider. based in Lehigh acres, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. AP60787302 (WA). The NPI Number for BLAIR RYAN is 1114440161

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
BLAIR RYAN
NPI
1114440161
Phone
Not provided
Address
2199 OXFORD RIDGE CIR
Enumeration Date
21 July 2017
Last Update Date
17 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5095758000
Graduation Year
2017 (9 years ago)
PAC ID
5698041150
Group Practice PAC ID
1557391596
Professional Enrollment ID
I20171027001395
Address ID
WA989023761YA2811XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

987 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WA

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Provider Addresses for BLAIR RYAN

  • 2199, Oxford Ridge Circle, Lehigh Acres, Lee County, Florida, 33973, United States

    LEHIGH ACRES, FL 339736058

    Phone:

    Type: Mailing

  • Virginia Mason Memorial, 2811, Tieton Drive, Yakima, Yakima County, Washington, 98902, United States

    YAKIMA, WA 989023761

    Phone: (509) 575-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-12-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171027001395ICertified Registered Nurse Anesthetist (Crna)WATBD
I20211217001565ICertified Registered Nurse Anesthetist (Crna)ORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33973)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557391596View full group profile
NameSpecialtyState
Emergency MedicineWA
Internal MedicineNJ
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
-WA
Internal MedicineWA
Emergency MedicineWA
-WA
Family PracticeWA
H E M A T O L O G Y/ O N C O L O G YWI

Reviews

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Frequently asked questions

Does BLAIR RYAN share an NPI with anyone else?
NPI numbers are unique to each provider or organization — BLAIR RYAN uses 1114440161.
Is BLAIR RYAN still practicing?
BLAIR RYAN is currently listed as active in the public NPI registry.
What is BLAIR RYAN's primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for BLAIR RYAN here. Clinical services aligned with this taxonomy classification.
What area does BLAIR RYAN serve?
BLAIR RYAN's listing highlights Lehigh Acres, Florida; more addresses can appear in NPPES.
Why does BLAIR RYAN have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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