JUSTIN RYAN (FNP-C) – Family Nurse Practitioner, NPI 1174148712
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for JUSTIN RYAN (FNP-C)
3175 SMITH RD
LAMBERTVILLE, MI 481449434
Phone: (734) 856-5494
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)
CMS reports 46 Open Payments records for all available years, with a total value of $828.
Total Amount is formed as General ($828) + Research ($0) + Ownership ($0) = $828.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Novo Nordisk Inc ($238).
Total Amount
$828
General + Research + Ownership
Payments
46
Total payment records
General Amount
$828
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $238 |
| ABBVIE INC. | $128 |
| Lilly USA, LLC | $123 |
| AstraZeneca Pharmaceuticals LP | $87 |
| GlaxoSmithKline, LLC. | $74 |
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: 2020-07-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200722002441 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 175 | 112 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 74 | 74 | $0 |
| 83036 | Hemoglobin a1c level | 71 | 40 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 55 | 37 | $0 |
| G0008 | Administration of influenza virus vaccine | 26 | 26 | $0 |
Insurance plans in this area (ZIP 48144)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | MI | |
| Family Practice | MI | |
| Family Practice | OH | |
| Clinical Psychologist | MI | |
| Physician Assistant | MI | |
| Family Practice | OR | |
| Physician Assistant | OH | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| - | MI |
Reviews
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