SANDRA LYNN RYAN (RN) – General Practice Registered Nurse, NPI 1558903583

SANDRA LYNN RYAN (RN) is a healthcare provider. based in San antonio, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. 1045869 (TX). The NPI Number for SANDRA LYNN RYAN (RN) is 1558903583

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SANDRA LYNN RYAN (RN)
NPI
1558903583
Phone
(210) 479-4101
Address
13409 GEORGE RD
Enumeration Date
10 October 2019
Last Update Date
16 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2105231411
Graduation Year
2021 (5 years ago)
PAC ID
4486056280
Group Practice PAC ID
4880657386
Professional Enrollment ID
I20210716000343
Address ID
TX782383302SA6157X410X401
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

22,209 NURSE PRACTITIONER in TX

Provider Addresses for SANDRA LYNN RYAN (RN)

  • 13409 GEORGE RD

    SAN ANTONIO, TX 782303064

    Phone: (210) 479-4101

    Type: Location

  • Cliffside Drive, Shavano Park, Bexar County, Texas, 78231, United States

    SHAVANO PARK, TX 782311512

    Phone: (210) 479-4101

    Type: Mailing

  • 1715 MCCULLOUGH AVE

    SAN ANTONIO, TX 782124046

    Phone: (210) 225-5323

    Fax: (210) 225-7505

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $828.

Total Amount is formed as General ($828) + Research ($0) + Ownership ($0) = $828.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($178).

Total Amount

$828

General + Research + Ownership

Payments

17

Total payment records

General Amount

$828

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2021-07-16

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
I20210716000343INurse PractitionerTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes8773$0
36415Insertion of needle into vein for collection of blood sample4340$0
99212Established patient office or other outpatient visit, 10-19 minutes4037$0
99213Established patient office or other outpatient visit, 20-29 minutes2019$0
View full utilization report →

Insurance plans in this area (ZIP 78230)

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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: 4880657386View full group profile

Reviews

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Frequently asked questions

What number should I use to identify SANDRA LYNN RYAN (RN) for billing?
Administrative and clinical systems typically use NPI 1558903583 for SANDRA LYNN RYAN (RN).
Is SANDRA LYNN RYAN (RN)'s NPI status active today?
Active status means SANDRA LYNN RYAN (RN)'s NPI record is not deactivated in the public file.
What type of care does SANDRA LYNN RYAN (RN) provide?
SANDRA LYNN RYAN (RN)'s profile centers on General Practice Registered Nurse. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SANDRA LYNN RYAN (RN)?
SANDRA LYNN RYAN (RN) is associated with San Antonio, Texas in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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