RYAN PELANT – Certified Registered Nurse Anesthetist, NPI 1124543343

RYAN PELANT is a healthcare provider. based in Saint cloud, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. R208695-4 (MN). The NPI Number for RYAN PELANT is 1124543343

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
RYAN PELANT
NPI
1124543343
Phone
(320) 258-3090
Address
3701 12TH ST N STE 202
Enumeration Date
9 August 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
9537427703
Group Practice PAC ID
2466363395
Professional Enrollment ID
I20171215001062
Address ID
MN563031901ST1406XNOXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

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Provider Addresses for RYAN PELANT

  • 12th Street North, St. Cloud, Stearns County, Minnesota, 56303, United States

    SAINT CLOUD, MN 563032253

    Phone: (320) 258-3090

    Type: Mailing

  • 3701, 12th Street North, St. Cloud, Stearns County, Minnesota, 56303, United States

    SUITE 202

    ST. CLOUD, MN 56303

    Phone: (320) 258-3090

    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: 2017-12-15

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
I20171215001062ICertified Registered Nurse Anesthetist (Crna)MNTBD

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
00104Anesthesia for electroshock therapy2817$0
View full utilization report →

Insurance plans in this area (ZIP 56303)

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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: 2466363395View full group profile

Reviews

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Frequently asked questions

Is there an official ID for RYAN PELANT in U.S. healthcare records?
The official identifier for RYAN PELANT is NPI 1124543343.
Is there an active status for RYAN PELANT?
For scheduling context, RYAN PELANT is shown as active in the registry.
How would a patient describe RYAN PELANT's focus?
For RYAN PELANT, the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Minnesota is RYAN PELANT registered?
Use Saint Cloud, Minnesota as the headline location for RYAN PELANT here.
When was this NPI issued?
Enumeration for RYAN PELANT is noted as August 9, 2017 where the registry provides it.

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