KELLY RYAN PMHNP-BC, APRN-CNP
NPI 1134675192
Nurse Practitioner - Psychiatric/Mental Health in Traverse City, MI
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
3Medicare enrollment records show Kelly Ryan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Traverse City, MI 49684
- Reassigned Medicare billing, Michigan enrollment
- 18 clinicians in this Medicare group
Dayton, OH 45432
- Reassigned Medicare billing, Ohio enrollment
- 17 clinicians in this Medicare group
Cincinnati, OH 45246
- Reassigned Medicare billing, Ohio enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelly Ryan's NPI number?
The NPI number for Kelly Ryan is 1134675192. It was assigned to this individual provider in the NPPES registry on August 30, 2016.
Where is Kelly Ryan located?
Kelly Ryan practices at 3155 Logan Valley Rd, Traverse City, MI 49684. The listed phone number is (402) 677-9083.
What is Kelly Ryan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kelly Ryan enrolled in Medicare?
Yes. Kelly Ryan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kelly Ryan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Ryan reassigns Medicare benefits to 3 organizations: Traverse Health Clinic And Coalition (Traverse City, MI), Wellness Card LLC (Dayton, OH) and Farrellco Inc (Cincinnati, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Ryan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Ryan accept?
Health plans from Blue Care Network of Michigan, Oscar Insurance Company, Priority Health and UnitedHealthcare list Kelly Ryan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kelly Ryan was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kelly Ryan, PMHNP-BC, APRN-CNP · NPI 1134675192
Psychiatric/Mental Health physician in Traverse City, Michigan. Individual provider, active in the CMS NPPES registry since August 30, 2016.
## Identity
- **NPI:** 1134675192 (Entity type: Individual)
- **Enumerated:** August 30, 2016
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 6401017335 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3155 LOGAN VALLEY RD, Traverse City, MI 49684-4772
- **Phone:** (402) 677-9083
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Traverse Health Clinic And Coalition (NPI 1467632059, Traverse City, MI); Wellness Card LLC (NPI 1558678151, Dayton, OH); Farrellco Inc (NPI 1578993572, Cincinnati, OH) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1134675192) · Data from the CMS NPPES public registry.