JACLYN M. RYAN (PA) – Physician Assistant, NPI 1326098799
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,691 PHYSICIAN ASSISTANT in PA
Provider Addresses for JACLYN M. RYAN (PA)
60 E Township Line Road
Elkins Park, PA 19027
Phone: (215) 663-6323
Fax: (215) 663-6703
Type: Location
307, South Evergreen Avenue, Woodbury, Gloucester County, New Jersey, 08096, United States
WOODBURY, NJ 080962739
Phone: (856) 686-4300
Type: Mailing
Virtua Health & Wellness Center - Camden, 1000, Atlantic Avenue, Whitman Park, Camden, Camden County, New Jersey, 08103, United States
CAMDEN, NJ 081041132
Phone: (856) 246-3000
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: 2007-12-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071203000222 | I | Physician Assistant | NJ | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 19 | 18 | $0 |
Insurance plans in this area (ZIP 19027)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NJ | |
| Emergency Medicine | NJ | |
| Preventive Medicine | PA | |
| Emergency Medicine | PA | |
| Physician Assistant | NJ | |
| - | PA | |
| Physician Assistant | NJ | |
| - | NJ | |
| Physician Assistant | NJ | |
| - | NJ |
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