KELLY RYAN (PMHNP-BC, APRN-CNP) – Family Nurse Practitioner, NPI 1134675192
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KELLY RYAN (PMHNP-BC, APRN-CNP)
1719 S GARFIELD AVE
TRAVERSE CITY, MI 496864337
Phone: (231) 935-0799
Fax: (231) 935-0962
Type: Location
Shepherd Farm, West Chester Township, Butler County, Ohio, 45069, United States
WEST CHESTER, OH 450691128
Phone: (513) 942-9500
Type: Mailing
3155 LOGAN VALLEY RD
TRAVERSE CITY, MI 496844772
Phone: (402) 677-9083
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $173.
Total Amount is formed as General ($173) + Research ($0) + Ownership ($0) = $173.
Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($100).
Total Amount
$173
General + Research + Ownership
Payments
4
Total payment records
General Amount
$173
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $100 |
| ABIOMED | $35 |
| Agiliti Health, Inc. | $22 |
| ABBVIE INC. | $16 |
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: 2020-07-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161207001519 | I | Nurse Practitioner | OH | TBD |
| I20200715002313 | I | Nurse Practitioner | MI | TBD |
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.
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 49686)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Clinical Social Worker | OH | |
| Mental Health Counselor | OH | |
| - | OH | |
| Clinical Social Worker | OH | |
| Psychiatry, Geriatric Psychiatry | OH |
Reviews
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