RYAN BERRY – Certified Registered Nurse Anesthetist, NPI 1609231877

RYAN BERRY is a healthcare provider. based in Eden prairie, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 1864 (MN). The NPI Number for RYAN BERRY is 1609231877

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
RYAN BERRY
NPI
1609231877
Phone
Not provided
Address
8942 KNOLLWOOD DR
Enumeration Date
15 December 2015
Last Update Date
31 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096630222
Graduation Year
2016 (10 years ago)
PAC ID
6305140260
Group Practice PAC ID
8921420308
Professional Enrollment ID
I20220503000343
Address ID
IL617043567BL2204XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

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

Provider Addresses for RYAN BERRY

  • 8942 KNOLLWOOD DR

    EDEN PRAIRIE, MN 553471722

    Phone:

    Type: Mailing

  • 800 E 28TH ST

    MINNEAPOLIS, MN 554073723

    Phone: (865) 342-8900

    Fax: (865) 691-0843

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $47.

Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.

Last reported payment date: 2024-04-23 • Largest payer in this snapshot: ATRICURE, INC. ($32).

Total Amount

$47

General + Research + Ownership

Payments

2

Total payment records

General Amount

$47

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-23

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: 2022-05-03

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
I20220503000343ICertified Registered Nurse Anesthetist (Crna)ILTBD

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
01922Anesthesia for x-ray or radiation therapy1716$0
00811Anesthesia for other procedure on large bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 55347)

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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: 8921420308View full group profile
NameSpecialtyState
Nurse PractitionerIL
Clinical PsychologistIL
Hospitalist, Family PracticeTX
Clinical PsychologistIL
Cardiovascular Disease (Cardiology)IL
Cardiovascular Disease (Cardiology)IL
-IL
Diagnostic RadiologyIL
Physician AssistantIL
Physician AssistantIL

Reviews

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Frequently asked questions

Can I verify RYAN BERRY with an NPI only?
You can start verification with NPI 1609231877 for RYAN BERRY, then check state licensing separately.
Is RYAN BERRY still practicing?
RYAN BERRY is currently listed as active in the public NPI registry.
What is RYAN BERRY's primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for RYAN BERRY here. Clinical services aligned with this taxonomy classification.
Where is RYAN BERRY based?
RYAN BERRY is tied to Eden Prairie, Minnesota in the data we show; additional addresses may exist on the full record.
Why does RYAN BERRY 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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