KARLIE ANNE RYAN – Family Nurse Practitioner, NPI 1306540380

KARLIE ANNE RYAN is a healthcare provider. based in Moundville, Alabama. specializing in NURSE PRACTITIONER. They hold a License No. 1-176632 (AL). The NPI Number for KARLIE ANNE RYAN is 1306540380

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
KARLIE ANNE RYAN
NPI
1306540380
Phone
(205) 331-9913
Address
686 HAMPTON HILLS DR
Enumeration Date
27 March 2023
Last Update Date
27 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2055612370
Graduation Year
2022 (4 years ago)
PAC ID
1850740127
Group Practice PAC ID
9537329875
Professional Enrollment ID
I20231212001890
Address ID
AL354062421TU100XXLOOP501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for KARLIE ANNE RYAN

  • 686 HAMPTON HILLS DR

    MOUNDVILLE, AL 354741928

    Phone: (205) 331-9913

    Type: Mailing

  • 4280 WATERMELON RD STE 112

    NORTHPORT, AL 354735250

    Phone: (205) 750-0030

    Fax: (205) 750-0855

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 167 Open Payments records for all available years, with a total value of $3,782.

Total Amount is formed as General ($3,782) + Research ($0) + Ownership ($0) = $3,782.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($1,000).

Total Amount

$3,782

General + Research + Ownership

Payments

167

Total payment records

General Amount

$3,782

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231212001890INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35474)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537329875View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyAL
-WA

Reviews

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Frequently asked questions

What unique ID ties claims to KARLIE ANNE RYAN?
NPI 1306540380 is assigned to KARLIE ANNE RYAN under the national enumeration system.
Does this profile mean KARLIE ANNE RYAN is currently active?
Yes — KARLIE ANNE RYAN appears active in the national provider directory.
Does KARLIE ANNE RYAN list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for KARLIE ANNE RYAN. Clinical services aligned with this taxonomy classification.
Where does public data place KARLIE ANNE RYAN?
The snapshot lists Moundville, Alabama for KARLIE ANNE RYAN; download NPPES for the complete set.
Is KARLIE ANNE RYAN a real provider?
This page reflects official NPPES data for NPI 1306540380. Always confirm identity and privileges with the practice and licensing boards.

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