ROBERT B RYDER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1508855982

ROBERT B RYDER (CRNA) is a healthcare provider. based in Jefferson city, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 095593 (MO). The NPI Number for ROBERT B RYDER (CRNA) is 1508855982

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT B RYDER (CRNA)
NPI
1508855982
Phone
(573) 636-3483
Address
1445 CHRISTY DR
Enumeration Date
18 October 2005
Last Update Date
16 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5736357022
Graduation Year
1989 (37 years ago)
PAC ID
0446358279
Group Practice PAC ID
8224025747
Professional Enrollment ID
I20070601000466
Address ID
MO651015195JE1705XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO

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Provider Addresses for ROBERT B RYDER (CRNA)

  • 1445, Christy Drive, Jefferson City, Cole County, Missouri, 65101, United States

    JEFFERSON CITY, MO 651012853

    Phone: (573) 636-3483

    Fax: (573) 636-5315

    Mailing address matches the actual address.

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: 2007-06-01

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
I20070601000466ICertified Registered Nurse Anesthetist (Crna)MOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery3737$0
00873Anesthesia for shock wave therapy for urinary system stones without water bath1212$0
View full utilization report →

Insurance plans in this area (ZIP 65101)

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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: 8224025747View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MO
A N E S T H E S I O L O G YMO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
Certified Registered Nurse Anesthetist (Crna)MO
-MO
Certified Registered Nurse Anesthetist (Crna)MO
Critical Care (Intensivists), AnesthesiologyMO
Certified Registered Nurse Anesthetist (Crna)MO

Reviews

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Frequently asked questions

What NPI should I save for ROBERT B RYDER (CRNA)?
Save NPI 1508855982 if you need a stable reference for ROBERT B RYDER (CRNA).
Is ROBERT B RYDER (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does ROBERT B RYDER (CRNA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for ROBERT B RYDER (CRNA). Clinical services aligned with this taxonomy classification.
Where is ROBERT B RYDER (CRNA)'s primary listing?
We display Jefferson City, Missouri because that is what the record indicates for ROBERT B RYDER (CRNA).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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