RYAN COLLINS (PA) – Registered Dietitian, NPI 1023679214

RYAN COLLINS (PA) is a healthcare provider. based in Ballwin, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 2436 (AL). The NPI Number for RYAN COLLINS (PA) is 1023679214

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
RYAN COLLINS (PA)
NPI
1023679214
Phone
(210) 788-2773
Address
13935 REFLECTION CT APT 724
Enumeration Date
27 June 2019
Last Update Date
21 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9313689770
Graduation Year
2024 (2 years ago)
PAC ID
7911431374
Group Practice PAC ID
9931629979
Professional Enrollment ID
I20241108000392
Address ID
AL352434217BI1900XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,854 PHYSICIAN ASSISTANT in MO

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Provider Addresses for RYAN COLLINS (PA)

  • 13935 REFLECTION CT APT 724

    BALLWIN, MO 630218044

    Phone: (210) 788-2773

    Type: Mailing

  • 15740, South Outer 40, Chesterfield, Saint Louis County, Missouri, 63017, United States

    CHESTERFIELD, MO 630172004

    Phone: (636) 237-4200

    Type: Location

  • PO BOX 55310

    BIRMINGHAM, AL 352555310

    Phone:

    Type: Mailing

  • 1900 INTERNATIONAL PARK DR STE 140

    BIRMINGHAM, AL 352434217

    Phone: (615) 997-9107

    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: 2024-11-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20241108000392IPhysician AssistantALTBD

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 63021)

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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: 9931629979View full group profile
NameSpecialtyState
Pain Management, Interventional Pain ManagementTN
Nurse PractitionerTN
Nurse PractitionerAL
Anesthesiology, Pain ManagementAL

Reviews

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Frequently asked questions

What is the 10-digit NPI for RYAN COLLINS (PA)?
RYAN COLLINS (PA) — NPI 1023679214 — is the standard way to identify this listing.
Is RYAN COLLINS (PA) still practicing?
RYAN COLLINS (PA) is currently listed as active in the public NPI registry.
What healthcare role does RYAN COLLINS (PA) hold?
Scheduling teams often label RYAN COLLINS (PA) under Registered Dietitian. Clinical services aligned with this taxonomy classification.
What area does RYAN COLLINS (PA) serve?
RYAN COLLINS (PA)'s listing highlights Ballwin, Missouri; more addresses can appear in NPPES.
Why does RYAN COLLINS (PA) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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