KELLY RYAN PMHNP-BC, APRN-CNP
NPI 1134675192
Nurse Practitioner - Psychiatric/Mental Health in Traverse City, MI

Active since August 30, 2016PECOS Enrolled
3155 LOGAN VALLEY RD, TRAVERSE CITY, MI 49684(402) 677-9083 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 2, 2026, May 29, 2026, Mar 23, 2026 and 3 more (6 updates tracked since 2016).

About Kelly Ryan Pmhnp-bc, Aprn-cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY RYAN PMHNP-BC, APRN-CNP (NPI 1134675192) is an individual psychiatric/mental health provider in Traverse City, Michigan, licensed in Michigan (6401017335) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Traverse City.

NPPES Registry Identity

NPI1134675192
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELLY RYANCredential: PMHNP-BC, APRN-CNP
Location Address3155 LOGAN VALLEY RDTraverse City, MI 49684-4772
Mailing Address3155 Logan Valley RdTraverse City, MI 49684-4772 · (402) 677-9083
Sole ProprietorYes
Enumeration DateAugust 30, 2016
Last NPPES UpdateJune 2, 20266 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
NPI 1134675192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MI · 6401017335
3155 LOGAN VALLEY RD, Traverse City, MI 49684

Secondary Practice Location 1

Location 1333 W Grandview Pkwy Ste 403Traverse City, MI 49684-2298 · Phone (231) 929-0300

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Ryan Pmhnp-bc, Aprn-cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
3155 LOGAN VALLEY RD
TRAVERSE CITY, MI 49684
Counselor (Mental Health)
3155 LOGAN VALLEY RD
TRAVERSE CITY, MI 49684
Social Worker (Clinical)
3155 LOGAN VALLEY RD
TRAVERSE CITY, MI 49684
Counselor (Professional)
3155 LOGAN VALLEY RD
TRAVERSE CITY, MI 49684

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134675192, enumerated as an "individual" on August 30, 2016.

The provider is located at 3155 LOGAN VALLEY RD TRAVERSE CITY, MI 49684 and the phone number is (402) 677-9083.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Blue Care Network of Michigan, McLaren Health Plan. Please consult your insurance carrier or call the provider to verify.