RYAN EMMERT – Family Nurse Practitioner, NPI 1629705454

RYAN EMMERT is a healthcare provider. based in Glen gardner, New Jersey. specializing in NURSE PRACTITIONER. They hold a License No. 26NR21346100 (NJ). The NPI Number for RYAN EMMERT is 1629705454

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
RYAN EMMERT
NPI
1629705454
Phone
(267) 679-4716
Address
6 SPRUCE RUN RD
Enumeration Date
2 August 2022
Last Update Date
14 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9082374144
Graduation Year
2023 (3 years ago)
PAC ID
5698123693
Group Practice PAC ID
4486951183
Professional Enrollment ID
I20231201001185
Address ID
NJ078822213WA6XXXXDRXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:3State licenses:2Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for RYAN EMMERT

  • 6 SPRUCE RUN RD

    GLEN GARDNER, NJ 088263240

    Phone: (267) 679-4716

    Type: Mailing

  • 6 CLUB HOUSE DR STE 102

    WASHINGTON, NJ 078822213

    Phone: (908) 237-4144

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2023-12-01

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
I20231201001185INurse PractitionerNJTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08826)

Loading plans...

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: 4486951183View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify RYAN EMMERT for billing?
Administrative and clinical systems typically use NPI 1629705454 for RYAN EMMERT.
Does the public listing show RYAN EMMERT as active?
RYAN EMMERT's NPI record reflects an active status in NPPES.
Which specialty label fits RYAN EMMERT?
NPPES ties RYAN EMMERT to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to RYAN EMMERT?
RYAN EMMERT is associated with Glen Gardner, New Jersey in the same public data insurers reference.
Who maintains RYAN EMMERT's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

AHMAD. A. MUR, MD PA

Internal Medicine Physician
PO BOX 576
NPI: 1356473912

Unknown Individual

Nurse Practitioner
PO BOX 1206
NPI: 1669649661

DEBRA HELEN HAGEN (RN)

Family Nurse Practitioner
7 GLENN AVE
NPI: 1780287003