DR. SCOTT RYAN MAANUM (M.D.) – Family Medicine Physician, NPI 1992901086
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,075 FAMILY PRACTICE in MN
Provider Addresses for DR. SCOTT RYAN MAANUM (M.D.)
600 PLEASANT AVE S
PARK RAPIDS, MN 564701431
Phone: (218) 732-3311
Fax: (218) 732-1368
Type: Mailing
20600 FIREWOOD TRL
PARK RAPIDS, MN 564706242
Phone: (218) 292-9545
Fax: (218) 255-8786
Type: Mailing
600 Pleasant Ave S
Park Rapids, MN 564701431
Phone: (218) 732-3311
Fax: (218) 732-1368
Type: Location
Glacial Ridge Hospital, 10, 4th Avenue Southeast, Glenwood, Pope County, Minnesota, 56334, United States
GLENWOOD, MN 563341820
Phone: (320) 634-4521
Fax: (320) 634-2244
Type: Mailing
417, Franklin Street South, Glenwood, Pope County, Minnesota, 56334, United States
GLENWOOD, MN 563341598
Phone: (320) 634-5157
Fax: (320) 634-2244
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: 2010-12-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101215001221 | I | Family Practice | MN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 56470)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | MN | |
| Emergency Medicine | MN | |
| Emergency Medicine | CO | |
| Diagnostic Radiology | ND | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Emergency Medicine | MN | |
| Emergency Medicine | MN | |
| - | MN | |
| Hospice/Palliative Care, Internal Medicine, Hospitalist | MN | |
| Internal Medicine | KS |
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