ANDREA L RYAN (NP) – Gerontology Nurse Practitioner, NPI 1770665192

ANDREA L RYAN (NP) is a healthcare provider. based in Florence, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 26NN08674700 (NJ). The NPI Number for ANDREA L RYAN (NP) is 1770665192

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA L RYAN (NP)
NPI
1770665192
Phone
(609) 410-7605
Address
528 E 5TH ST
Enumeration Date
19 October 2006
Deactivation Date
30 September 2022
Reactivation Date
19 October 2022
Last Update Date
3 March 2023

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
6094107605
Graduation Year
1997 (29 years ago)
PAC ID
8426242165
Professional Enrollment ID
I20101027000422
Address ID
NJ085182604FL528XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

7,574 NURSE PRACTITIONER in NJ

Provider Addresses for ANDREA L RYAN (NP)

  • 528 E 5TH ST

    FLORENCE, NJ 085182604

    Phone: (609) 410-7605

    Fax: (609) 360-0252

    Type: Location

  • White Horse Pike, Haddon Heights, Camden County, New Jersey, 08007, United States

    HADDON HEIGHTS, NJ 080351294

    Phone: (856) 310-0042

    Fax: (856) 310-0092

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $124.

Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.

Last reported payment date: 2023-09-14 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($124).

Total Amount

$124

General + Research + Ownership

Payments

1

Total payment records

General Amount

$124

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-14

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: 2010-10-27

PECOS data refreshed: 2026-06-15

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
I20101027000422INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,338266$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes136136$0
90792Psychiatric diagnostic evaluation with medical services2424$0
View full utilization report →

Insurance plans in this area (ZIP 08518)

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Reviews

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Frequently asked questions

How is ANDREA L RYAN (NP) identified in CMS data?
CMS-hosted NPPES data lists ANDREA L RYAN (NP) with NPI 1770665192.
Is ANDREA L RYAN (NP) listed as active for patients and plans?
The listing shows ANDREA L RYAN (NP) as active in the NPI system.
What taxonomy line describes ANDREA L RYAN (NP)?
For research purposes, treat ANDREA L RYAN (NP) as Gerontology Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect ANDREA L RYAN (NP) on a map?
Expect Florence, New Jersey as a primary anchor for ANDREA L RYAN (NP) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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