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

Taysha Marie Ryan

Individual provider Family Nurse Practitioner · NPI 1770123804

Taysha Marie Ryan is a Nurse Practitioner in Champaign, Illinois. Qualified in 2019, 7 years ago. Practices with Kevin Elliott Counseling PC, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2020
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Practice location Address checks out

309 W Clark St
Champaign, IL 61820-4637
Phone: (217) 398-9066
Fax: (217) 398-9077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2001 Philo Rd, Urbana, IL 61802-8007 — (217) 398-9066

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209020376 (IL)

Record details

NPI number1770123804
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 7, 2020
Last updated in NPPESAugust 4, 2022
Certification dateAugust 4, 2022
Mailing address309 W Clark St, Champaign, IL 61820-4637

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Kevin Elliott Counseling Pc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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