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

Meredith Cooper Ryan

Individual provider Physician Assistant · NPI 1992352892

Meredith Cooper Ryan is a Physician Assistant in Missoula, Montana. Qualified in 2019, 7 years ago. Practices with Providence Health and Services Mt, a 358-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
7
Licensed in
MT
In the registry since
2019
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

601 W Spruce St Ste A
Missoula, MT 59802-4047
Phone: (406) 728-3111
Fax: (406) 728-3116
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 2450 Sw Perkins Ave, Pendleton, OR 97801-4302 — (541) 276-1700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MED-PAC-LIC-104453 (MT)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1992352892
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 25, 2019
Last updated in NPPESApril 13, 2023
Certification dateApril 13, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Providence Health And Services Mt — 358 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Missoula