RYAN WHITE – Psychiatric/Mental Health Nurse Practitioner, NPI 1770039356

RYAN WHITE is a healthcare provider. based in Bicknell, Utah. specializing in NURSE PRACTITIONER. They hold a License No. 7996304-4405 (UT). The NPI Number for RYAN WHITE is 1770039356

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
RYAN WHITE
NPI
1770039356
Phone
(435) 425-3744
Address
128 SOUTH 300 WEST
Enumeration Date
1 September 2016
Last Update Date
17 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8019951788
Graduation Year
2016 (10 years ago)
PAC ID
9537457403
Group Practice PAC ID
3476900796
Professional Enrollment ID
I20161007001412
Address ID
UT847702951ST249XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:9State licenses:1Digital endpointsOther names

2,655 NURSE PRACTITIONER in UT

Provider Addresses for RYAN WHITE

  • 128 SOUTH 300 WEST

    BICKNELL, UT 847150303

    Phone: (435) 425-3744

    Fax: (435) 425-3785

    Type: Location

  • 248 E 13800 S Ste 4

    Draper, UT 840205011

    Phone: (702) 589-4871

    Fax: (702) 589-4872

    Type: Location

  • 344, South 660 East Circle, St. George, Washington County, Utah, 84770, United States

    ST. GEORGE, UT 84770

    Phone:

    Type: Mailing

  • PO BOX 303

    BICKNELL, UT 847150303

    Phone: (435) 425-1143

    Type: Mailing

  • 249 E TABERNACLE ST STE 104

    ST GEORGE, UT 847702951

    Phone: (435) 625-1159

    Fax: (435) 319-8690

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $212.

Total Amount is formed as General ($212) + Research ($0) + Ownership ($0) = $212.

Last reported payment date: 2023-10-26 • Largest payer in this snapshot: ABBVIE INC. ($159).

Total Amount

$212

General + Research + Ownership

Payments

8

Total payment records

General Amount

$212

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-26

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: 2016-10-07

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
I20161007001412INurse PractitionerUTTBD

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 84715)

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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: 3476900796View full group profile
NameSpecialtyState
Mental Health CounselorUT
Clinical Social WorkerUT
Mental Health CounselorUT
Nurse PractitionerUT

Reviews

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Frequently asked questions

What federal number belongs to RYAN WHITE?
The federal identifier for RYAN WHITE is NPI 1770039356.
Is RYAN WHITE currently active in the NPI registry?
CMS-published data lists RYAN WHITE as an active registrant.
What field does RYAN WHITE work in?
You can think of RYAN WHITE as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is RYAN WHITE's primary listing?
We display Bicknell, Utah because that is what the record indicates for RYAN WHITE.
What if Bicknell, Utah seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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