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

Ryan J Nettles, PA-C

Individual provider Physician Assistant · NPI 1003814849

Ryan J Nettles, PA-C is a Physician Assistant in Leawood, Kansas. Qualified in 2004, 22 years ago. Practices with Banner Health Physicians Colorado LLC, a 277-clinician group and accepts Medicare assignment. Licensed in Colorado, Kansas and Missouri.

Years since qualifying
22
Licensed in
CO, KS, MO
In the registry since
2005
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3651 College Blvd #100A
Leawood, KS 66211-1904
Phone: (913) 319-7546
Fax: (913) 319-7691
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2940 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 05-25395 (KS)
Physician Assistant Taxonomy 363A00000X · Licence 2004027792 (MO)

Record details

NPI number1003814849
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 13, 2005
Last updated in NPPESJune 6, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Banner Health Physicians Colorado Llc — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Leawood