KELSEY RYAN (NP) – Family Nurse Practitioner, NPI 1356014054

KELSEY RYAN (NP) is a healthcare provider. based in West bloomfield, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 20210001990 (MI). The NPI Number for KELSEY RYAN (NP) is 1356014054

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY RYAN (NP)
NPI
1356014054
Phone
Not provided
Address
7125 ORCHARD LAKE RD STE 316
Enumeration Date
28 July 2021
Last Update Date
28 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8666072308
Graduation Year
2020 (6 years ago)
PAC ID
7315342896
Group Practice PAC ID
8022101740
Professional Enrollment ID
I20210820002668
Address ID
MI483072593RO441XXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for KELSEY RYAN (NP)

  • 7125 ORCHARD LAKE RD STE 316

    WEST BLOOMFIELD, MI 483223629

    Phone:

    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 3 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2024-09-20 • Largest payer in this snapshot: TACTILE SYSTEMS TECHNOLOGY INC ($20).

Total Amount

$54

General + Research + Ownership

Payments

3

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-20

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: 2021-08-20

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
I20210820002668INurse PractitionerMITBD

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
99212Established patient office or other outpatient visit, 10-19 minutes6537$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers4928$0
36471Injection of chemical agent into multiple incompetent veins of leg3223$0
76942Ultrasonic guidance for needle placement3223$0
93970Ultrasound study of arm or leg veins with compression and maneuvers2723$0
View full utilization report →

Insurance plans in this area (ZIP 48322)

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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: 8022101740View full group profile
NameSpecialtyState
Physician AssistantMI
Vascular Surgery, Emergency MedicineMI
General SurgeryMI
Family PracticeMI
Emergency MedicineMI
Family Practice, Pediatric MedicineMI

Reviews

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Frequently asked questions

Where can patients find KELSEY RYAN (NP)'s NPI?
You can confirm KELSEY RYAN (NP) with NPI 1356014054; it appears in the national provider directory.
Is KELSEY RYAN (NP) currently active in the NPI registry?
CMS-published data lists KELSEY RYAN (NP) as an active registrant.
What field does KELSEY RYAN (NP) work in?
You can think of KELSEY RYAN (NP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for KELSEY RYAN (NP)?
We surface West Bloomfield, Michigan for KELSEY RYAN (NP) based on available NPPES addresses.
Is KELSEY RYAN (NP) a real provider?
This page reflects official NPPES data for NPI 1356014054. Always confirm identity and privileges with the practice and licensing boards.

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