Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grant Rynn

Individual provider Physician Assistant · NPI 1831643188

Grant Rynn is a Physician Assistant in Vail, Colorado. Qualified in 2016, 10 years ago. Practices with Vvmc Diversified Services, a 16-clinician group and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2016

Practice location Address checks out

181 W Meadow Dr
Vail, CO 81657-5242
Phone: (970) 479-5036
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1831643188
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 3, 2016
Last updated in NPPESNovember 15, 2021
Certification dateNovember 15, 2021
Mailing addressPo Box 40000, Vail, CO 81658-7520

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Vvmc Diversified Services — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Vail