RYAN WEILER – Registered Dietitian, NPI 1093229098

RYAN WEILER is a healthcare provider. based in Shakopee, Minnesota. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold a License No. 3611 (MN). The NPI Number for RYAN WEILER is 1093229098

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
RYAN WEILER
NPI
1093229098
Phone
(952) 403-1520
Address
1451 Adams St S
Enumeration Date
29 November 2017
Last Update Date
22 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529933123
Graduation Year
2014 (12 years ago)
PAC ID
5799186532
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20210630001557
Address ID
MN554265000ST3931XSXXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

277 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in MN

Provider Addresses for RYAN WEILER

  • 1451 Adams St S

    Shakopee, MN 553792697

    Phone: (952) 403-1520

    Type: Location

  • Adams Street South, Shakopee, Scott County, Minnesota, United States

    SHAKOPEE, MN 553792697

    Phone:

    Type: Mailing

  • 8170 33RD AVE S # MS 21110Q

    BLOOMINGTON, MN 554254516

    Phone:

    Type: Mailing

  • 14000 FAIRVIEW DR

    BURNSVILLE, MN 553375713

    Phone: (952) 993-8700

    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: 2021-06-30

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
I20210630001557IRegistered Dietitian Or Nutrition ProfessionalMNTBD

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
97802Therapy procedure for nutrition management, each 15 minutes3820$0
View full utilization report →

Insurance plans in this area (ZIP 55379)

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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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

What is the registry number for RYAN WEILER?
The registry entry for RYAN WEILER shows NPI 1093229098.
Quick check: is RYAN WEILER active?
Public NPPES data shows RYAN WEILER with an active NPI status right now.
What does the directory say RYAN WEILER does?
Insurance directories may phrase it differently, but here RYAN WEILER maps to Registered Dietitian. Clinical services aligned with this taxonomy classification.
Can patients visit RYAN WEILER in Shakopee, Minnesota?
For routing, start with Shakopee, Minnesota for RYAN WEILER, then verify phone and hours locally.
Can I export RYAN WEILER's record?
You can download the official NPPES record; we summarize key fields for readability.

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