RYAN MCBRIDE – Family Nurse Practitioner, NPI 1083297220
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $101 |
| Lilly USA, LLC | $75 |
| PFIZER INC. | $46 |
| Bayer Healthcare Pharmaceuticals Inc. | $34 |
| IDORSIA PHARMACEUTICALS US INC | $16 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210913001381 | I | Nurse Practitioner | ID | 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 84062)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | LA | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | NV | |
| Nurse Practitioner | UT |
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