SHANNON C RYAN (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1154602746

SHANNON C RYAN (PMHNP) is a healthcare provider. based in Central point, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 099000570RN (OR). The NPI Number for SHANNON C RYAN (PMHNP) is 1154602746

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON C RYAN (PMHNP)
NPI
1154602746
Phone
(541) 727-7787
Address
312 OAK ST
Enumeration Date
8 September 2011
Last Update Date
17 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5417277787
Graduation Year
2015 (11 years ago)
PAC ID
3870886583
Group Practice PAC ID
6103235809
Professional Enrollment ID
I20200629002787
Address ID
OR975022542CE312XXSTXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

3,379 NURSE PRACTITIONER in OR

Provider Addresses for SHANNON C RYAN (PMHNP)

  • 312 OAK ST

    STE 205

    CENTRAL POINT, OR 975022542

    Phone: (541) 727-7787

    Fax: (541) 727-7529

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 73 Open Payments records for all available years, with a total value of $1,057.

Total Amount is formed as General ($1,057) + Research ($0) + Ownership ($0) = $1,057.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Alkermes, Inc. ($292).

Total Amount

$1,057

General + Research + Ownership

Payments

73

Total payment records

General Amount

$1,057

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2020-06-29

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
I20200629002787INurse PractitionerORTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes8321$0
90833Psychotherapy with evaluation and management visit, 30 minutes5520$0
99204New patient office or other outpatient visit, 45-59 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 97502)

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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: 6103235809View full group profile
NameSpecialtyState
Clinical Social WorkerOR
Nurse PractitionerOR
Nurse PractitionerOR

Reviews

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Frequently asked questions

What identifier follows SHANNON C RYAN (PMHNP) across health systems?
The NPI 1154602746 uniquely identifies SHANNON C RYAN (PMHNP) in U.S. healthcare data.
Does the public listing show SHANNON C RYAN (PMHNP) as active?
SHANNON C RYAN (PMHNP)'s NPI record reflects an active status in NPPES.
What does the directory say SHANNON C RYAN (PMHNP) does?
Insurance directories may phrase it differently, but here SHANNON C RYAN (PMHNP) maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to SHANNON C RYAN (PMHNP)?
SHANNON C RYAN (PMHNP) shows a connection to Central Point, Oregon in registry-derived data.
Who maintains SHANNON C RYAN (PMHNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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