RYAN NUTTER PA-C
NPI 1265716690
Physician Assistant - Surgical in Milwaukee, WI
NPI Status: Active since October 04, 2011
Contact Information
525 W RIVER WOODS PKWY # 201
MILWAUKEE, WI
ZIP 53212
Phone: (414) 249-2422
Fax: (414) 249-0298
- Individual
- Male
- Physician Assistant
- Surgical
- PECOS Enrolled
About RYAN NUTTER
This page provides the complete NPI Profile along with additional information for Ryan Nutter, a provider established in Milwaukee, Wisconsin with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1265716690 assigned on October 2011. The practitioner's primary taxonomy code is 363AS0400X with license number 2773-023 (WI). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1265716690
- Provider Name
- RYAN NUTTER PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 525 W RIVER WOODS PKWY # 201 MILWAUKEE, WI 53212
- Location Phone
- (414) 249-2422
- Location Fax
- (414) 249-0298
- Mailing Address
- 525 W RIVER WOODS PKWY STE 130 GLENDALE, WI 53212
- Mailing Phone
- (414) 961-0304
- Mailing Fax
- (414) 249-0298
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-04-2011
- Last Update Date
- 03-03-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 2773-023
- License State
- WI
Medicare Participation & PECOS Enrollment Status
Ryan Nutter is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 6 | 5 | 7 | 1 | 6 | 6 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 14 | 1 | 12 | 6 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 1 + 4 + 1 + 1 + 2 + 6 + 1 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1265716690 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265716690, enumerated in the NPI registry as an "individual" on October 04, 2011
The provider is located at 525 W River Woods Pkwy # 201 Milwaukee, Wi 53212 and the phone number is (414) 249-2422
The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
This NPI record was last updated on October 04, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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