STEFANIE ANNE RYAN (APN) – Women's Health Nurse Practitioner, NPI 1497009062

STEFANIE ANNE RYAN (APN) is a healthcare provider. based in Rogers, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. ATP000499 (AR). The NPI Number for STEFANIE ANNE RYAN (APN) is 1497009062

Main info

Female
14 Years Of Experience
Name
STEFANIE ANNE RYAN (APN)
NPI
1497009062
Phone
(479) 986-1300
Address
1200 W WALNUT ST
Enumeration Date
5 November 2012
Last Update Date
5 November 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5016612000
Graduation Year
2012 (14 years ago)
PAC ID
7719115815
Group Practice PAC ID
5799696779
Professional Enrollment ID
I20150128001012
Address ID
AR722053866LI4815XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for STEFANIE ANNE RYAN (APN)

  • 1200 W WALNUT ST

    SUITE 2200

    ROGERS, AR 727563521

    Phone: (479) 986-1300

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-01-28

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
I20150128001012INurse PractitionerARTBD

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 72756)

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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: 5799696779View full group profile
NameSpecialtyState
Nurse PractitionerAR
Pediatric MedicineTX
Nurse PractitionerAR
Nurse PractitionerAR
O B S T E T R I C S/ G Y N E C O L O G YAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Nurse PractitionerAR
Infectious Disease, Internal MedicineAR

Reviews

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Frequently asked questions

What unique ID ties claims to STEFANIE ANNE RYAN (APN)?
NPI 1497009062 is assigned to STEFANIE ANNE RYAN (APN) under the national enumeration system.
Is STEFANIE ANNE RYAN (APN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize STEFANIE ANNE RYAN (APN)'s specialty in plain language?
Clinically, the directory lists STEFANIE ANNE RYAN (APN) with Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for STEFANIE ANNE RYAN (APN)?
The page summarizes Rogers, Arkansas for STEFANIE ANNE RYAN (APN); expand the address list for detail.
What if Rogers, Arkansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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