RYAN PETTY (DNP) – Family Nurse Practitioner, NPI 1902331598

RYAN PETTY (DNP) is a healthcare provider. based in Burton, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP. They hold a License No. 4704289644 (MI). The NPI Number for RYAN PETTY (DNP) is 1902331598

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
RYAN PETTY (DNP)
NPI
1902331598
Phone
(810) 424-2011
Address
3495 S CENTER RD
Enumeration Date
21 April 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8107357847
Graduation Year
2011 (15 years ago)
PAC ID
7911276928
Group Practice PAC ID
7214288281
Professional Enrollment ID
I20170707000683
Address ID
MI484518706LI6379XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for RYAN PETTY (DNP)

  • 3495, South Center Road, Burton, Genesee County, Michigan, 48519, United States

    BURTON, MI 485191455

    Phone: (810) 424-2011

    Type: Mailing

  • 6379, Silver Lake Road, Linden, Genesee County, Michigan, 48451, United States

    LINDEN, MI 484518706

    Phone: (810) 735-7847

    Fax: (810) 735-7159

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 106 Open Payments records for all available years, with a total value of $1,953.

Total Amount is formed as General ($1,953) + Research ($0) + Ownership ($0) = $1,953.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: PFIZER INC. ($332).

Total Amount

$1,953

General + Research + Ownership

Payments

106

Total payment records

General Amount

$1,953

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2017-07-07

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
I20170707000683INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes12966$0
36415Insertion of needle into vein for collection of blood sample9059$0
99213Established patient office or other outpatient visit, 20-29 minutes5346$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3030$0
81002Urinalysis, manual test1612$0
View full utilization report →

Insurance plans in this area (ZIP 48519)

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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: 7214288281View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physician AssistantMI
-MI
Physician AssistantMI
Nurse PractitionerMI
-MI
-MI
-MI
Internal MedicineMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What is RYAN PETTY (DNP)'s NPI number?
RYAN PETTY (DNP)'s NPI is 1902331598 — the number used across U.S. healthcare to identify this provider.
Is there an active status for RYAN PETTY (DNP)?
For scheduling context, RYAN PETTY (DNP) is shown as active in the registry.
What kind of doctor is RYAN PETTY (DNP)?
RYAN PETTY (DNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is RYAN PETTY (DNP) located near Burton?
RYAN PETTY (DNP) currently maps to Burton, Michigan in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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