RYAN SCOTT ANDERSON (APRN) – Clinical Nurse Specialist, NPI 1679117659

RYAN SCOTT ANDERSON (APRN) is a healthcare provider. based in Jonesboro, Arkansas. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). They hold the professional credentials APRN. They hold a License No. 121554 (AR). The NPI Number for RYAN SCOTT ANDERSON (APRN) is 1679117659

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
RYAN SCOTT ANDERSON (APRN)
NPI
1679117659
Phone
(870) 936-8000
Address
PO BOX 1960
Enumeration Date
1 November 2019
Last Update Date
1 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8709368000
Graduation Year
2019 (7 years ago)
PAC ID
5698108892
Group Practice PAC ID
2961547526
Professional Enrollment ID
I20191202001364
Address ID
AR724058413JO4802XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

44 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in AR

Provider Addresses for RYAN SCOTT ANDERSON (APRN)

  • PO BOX 1960

    JONESBORO, AR 724031960

    Phone: (870) 936-8000

    Fax: (870) 934-3633

    Type: Mailing

  • 4802 E JOHNSON AVE

    JONESBORO, AR 724058413

    Phone: (870) 936-8000

    Fax: (870) 934-3633

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $421.

Total Amount is formed as General ($421) + Research ($0) + Ownership ($0) = $421.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Amgen Inc. ($278).

Total Amount

$421

General + Research + Ownership

Payments

10

Total payment records

General Amount

$421

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2019-12-02

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
I20191202001364ICertified Clinical Nurse Specialist (Cns)ARTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3111Injection, romosozumab-aqqg, 1 mg11,97012$0
J0897Injection, denosumab, 1 mg1,02016$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg26782$0
96372Injection of drug or substance under skin or into muscle12828$0
20610Aspiration and/or injection of fluid from large joint10878$0
View full utilization report →

Insurance plans in this area (ZIP 72403)

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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: 2961547526View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAR
Internal MedicineAR
-CA
Nurse PractitionerAR
-AR
-TN
-AR
Nurse PractitionerTN
Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology, Interventional RadiologyTN
Nurse PractitionerAR

Reviews

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Frequently asked questions

Is there an official ID for RYAN SCOTT ANDERSON (APRN) in U.S. healthcare records?
The official identifier for RYAN SCOTT ANDERSON (APRN) is NPI 1679117659.
Would RYAN SCOTT ANDERSON (APRN) appear as active to a payer?
You can treat RYAN SCOTT ANDERSON (APRN) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is RYAN SCOTT ANDERSON (APRN)?
RYAN SCOTT ANDERSON (APRN) is associated with Clinical Nurse Specialist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with RYAN SCOTT ANDERSON (APRN)?
Directory geography for RYAN SCOTT ANDERSON (APRN) centers on Jonesboro, Arkansas.
Can I trust this NPI listing for RYAN SCOTT ANDERSON (APRN)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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