RYAN MCBRIDE – Family Nurse Practitioner, NPI 1083297220

RYAN MCBRIDE is a healthcare provider. based in Pleasant grove, Utah. specializing in NURSE PRACTITIONER. They hold a License No. F05210086 (ID). The NPI Number for RYAN MCBRIDE is 1083297220

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
RYAN MCBRIDE
NPI
1083297220
Phone
(800) 640-3451
Address
PO BOX 1200
Enumeration Date
5 May 2021
Last Update Date
13 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8006403451
Graduation Year
2020 (6 years ago)
PAC ID
8527464817
Group Practice PAC ID
2062733546
Professional Enrollment ID
I20210913001381
Address ID
ID834048042ID2065XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,802 NURSE PRACTITIONER in ID

Provider Addresses for RYAN MCBRIDE

  • PO BOX 1200

    PLEASANT GROVE, UT 840621200

    Phone: (800) 640-3451

    Type: Mailing

  • 2065 E 17TH ST STE A

    IDAHO FALLS, ID 834048042

    Phone: (800) 640-3451

    Type: Location

  • 123 S 19TH AVE

    POCATELLO, ID 832013339

    Phone: (208) 339-1579

    Type: Mailing

  • 210 S EMERSON AVE

    SHELLEY, ID 832741229

    Phone: (208) 375-7404

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $284.

Total Amount is formed as General ($284) + Research ($0) + Ownership ($0) = $284.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: ABBVIE INC. ($101).

Total Amount

$284

General + Research + Ownership

Payments

16

Total payment records

General Amount

$284

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

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: 2021-09-13

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
I20210913001381INurse PractitionerIDTBD

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 84062)

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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: 2062733546View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerTX
Nurse PractitionerFL
Nurse PractitionerLA
Nurse PractitionerUT
Nurse PractitionerTX
Nurse PractitionerFL
Nurse PractitionerNV
Nurse PractitionerUT

Reviews

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Frequently asked questions

Can I use this page to confirm RYAN MCBRIDE's NPI?
Yes. RYAN MCBRIDE is listed with NPI 1083297220 in the public NPI dataset.
Does CMS list RYAN MCBRIDE as active?
Yes — RYAN MCBRIDE is active in the NPI listing used on this page.
What is RYAN MCBRIDE's specialty?
The listing groups RYAN MCBRIDE with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect RYAN MCBRIDE on a map?
Expect Pleasant Grove, Utah as a primary anchor for RYAN MCBRIDE unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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