RYAN ST JOHN (PA-C) – Physician Assistant, NPI 1629256912

RYAN ST JOHN (PA-C) is a healthcare provider. based in Cadillac, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601004089 (MI). The NPI Number for RYAN ST JOHN (PA-C) is 1629256912

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
RYAN ST JOHN (PA-C)
NPI
1629256912
Phone
(231) 775-6076
Address
PO BOX 271
Enumeration Date
8 February 2008
Last Update Date
1 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163911730
Graduation Year
2003 (23 years ago)
PAC ID
3870509318
Group Practice PAC ID
1951404185
Professional Enrollment ID
I20060221000808
Address ID
MI495032560GR100XXNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

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Provider Addresses for RYAN ST JOHN (PA-C)

  • PO BOX 271

    CADILLAC, MI 496010271

    Phone: (231) 775-6076

    Fax: (231) 775-0027

    Type: Mailing

  • Spectrum Health Big Rapids Hospital, 605, Oak Street, Big Rapids, Mecosta County, Michigan, 49307, United States

    BIG RAPIDS, MI 493072048

    Phone: (231) 592-4250

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-09-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060221000808IPhysician AssistantMITBD
I20080929000357IPhysician AssistantTNTBD

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
99284Emergency department visit with moderate level of medical decision making2725$0
99285Emergency department visit with high level of medical decision making2626$0
View full utilization report →

Insurance plans in this area (ZIP 49601)

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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: 1951404185View full group profile
NameSpecialtyState
Physician AssistantMI
Emergency MedicineIL
Physician AssistantMI
Emergency MedicineIL
Physician AssistantIL
Physician AssistantMI
Emergency MedicineIL
Physician AssistantMI
Physician AssistantMI
Emergency MedicineMI

Reviews

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Frequently asked questions

Can I verify RYAN ST JOHN (PA-C) with an NPI only?
You can start verification with NPI 1629256912 for RYAN ST JOHN (PA-C), then check state licensing separately.
Is RYAN ST JOHN (PA-C) listed as active for patients and plans?
The listing shows RYAN ST JOHN (PA-C) as active in the NPI system.
What is RYAN ST JOHN (PA-C)'s primary classification?
Physician Assistant is the headline specialty for RYAN ST JOHN (PA-C) here. Clinical services aligned with this taxonomy classification.
Does RYAN ST JOHN (PA-C) list a practice location?
Patients near Cadillac, Michigan may find RYAN ST JOHN (PA-C) in results; validate coverage separately.
Why does RYAN ST JOHN (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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