Shanti Ryan, PA-C is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Portland, Oregon. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. Her current practice location is
3822 Se Powell Blvd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(888) 227-3312.
Shanti Ryan is licensed to practice in NU (license number ) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1629884325.
Provider's Profile
| Full Name | Shanti Ryan |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 3822 Se Powell Blvd, Portland, Oregon |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shanti Ryan graduated from nursing school in 2025
NPI Data:
- NPI Number: 1629884325
- Provider Enumeration Date: 12/06/2024
- Last Update Date: 11/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 7618468596
- Enrollment ID: I20251118005074
Medical Identifiers
Medical identifiers for Shanti Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629884325 | NPI | - | NPPES |
| 1234509 | Other | WA | CERTIFICATION |
| PA70046563 | Other | WA | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (NU) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Primary |
Medical Facilities Affiliation
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shanti Ryan allows following entities to bill medicare on her behalf.
| Entity Name | Express Care Or PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205499126
PECOS PAC ID: 1254768732
Enrollment ID: O20200311001372 |
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| Entity Name | Express Care Wa PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821554452
PECOS PAC ID: 6800128067
Enrollment ID: O20240226003520 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shanti Ryan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shanti Ryan, PA-C
3915 E Camelback Rd,
Phoenix, AZ 85018-2633
Ph: (928) 533-8513 | Shanti Ryan, PA-C
3822 Se Powell Blvd,
Portland, OR 97202-1720
Ph: (888) 227-3312 |
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