JENNIFER M RYAN (NP) – Obstetrics & Gynecology Nurse Practitioner, NPI 1417056045

JENNIFER M RYAN (NP) is a healthcare provider. based in New haven, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 001986 (CT). The NPI Number for JENNIFER M RYAN (NP) is 1417056045

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER M RYAN (NP)
NPI
1417056045
Phone
(203) 752-2856
Address
345 WHITNEY AVE
Enumeration Date
21 September 2006
Last Update Date
5 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2037308789
Graduation Year
1998 (28 years ago)
PAC ID
5496901217
Group Practice PAC ID
3274430665
Professional Enrollment ID
I20120810000339
Address ID
CT068104195DA103XXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,196 NURSE PRACTITIONER in CT

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Provider Addresses for JENNIFER M RYAN (NP)

  • 345, Whitney Avenue, East Rock, New Haven, New Haven County, Connecticut, 06511, United States

    NEW HAVEN, CT 065112348

    Phone: (203) 752-2856

    Fax: (203) 752-8785

    Type: Mailing

  • 44, Main Street, Main Street Historic District, Danbury, Western Connecticut Planning Region, Connecticut, 06810, United States

    DANBURY, CT 068108047

    Phone: (203) 743-2446

    Fax: (203) 790-4735

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $191.

Total Amount is formed as General ($191) + Research ($0) + Ownership ($0) = $191.

Last reported payment date: 2024-09-03 • Largest payer in this snapshot: Astellas Pharma US Inc ($133).

Total Amount

$191

General + Research + Ownership

Payments

8

Total payment records

General Amount

$191

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-03

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: 2012-08-10

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
I20120810000339INurse PractitionerCTTBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination4242$0
99213Established patient office or other outpatient visit, 20-29 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 06511)

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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: 3274430665View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YCT
O B S T E T R I C S/ G Y N E C O L O G YWI
-CT
O B S T E T R I C S/ G Y N E C O L O G YCT
Certified Nurse Midwife (Cnm)CT
O B S T E T R I C S/ G Y N E C O L O G YCT
Certified Nurse Midwife (Cnm)MD
-CT
-CT
O B S T E T R I C S/ G Y N E C O L O G YCT

Reviews

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Frequently asked questions

How do I look up JENNIFER M RYAN (NP) by NPI?
Use NPI 1417056045 when you need to reference JENNIFER M RYAN (NP) in forms, claims, or directories.
Is JENNIFER M RYAN (NP) active in the national directory?
JENNIFER M RYAN (NP)'s public NPI profile is in an active state.
Can you summarize JENNIFER M RYAN (NP)'s specialty in plain language?
Clinically, the directory lists JENNIFER M RYAN (NP) with Obstetrics & Gynecology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place JENNIFER M RYAN (NP)?
The snapshot lists New Haven, Connecticut for JENNIFER M RYAN (NP); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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