KELLIE MARIE RYAN - WILSON CNM
NPI 1255393872
Advanced Practice Midwife in San Angelo, TX

Q: What is Kellie Ryan - Wilson's NPI number?

The NPI number for Kellie Ryan - Wilson is 1255393872. It was assigned to this individual provider in the NPPES registry on April 6, 2006. The provider is also known as Kellie Ryan Cnp.

Q: What is Kellie Ryan - Wilson's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Active since April 06, 2006PECOS EnrolledAccepts Medicare Assignment

95.75/100

CMS Quality Rating

220 E. HARRIS, SAN ANGELO, TX 76903(325) 658-1511(325) 481-2165 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 18, 2020, Feb 25, 2019, Jul 7, 2018 and 1 more (4 updates tracked since 2018).

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About Kellie Marie Ryan - Wilson Cnm NPPES

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

KELLIE MARIE RYAN - WILSON CNM (NPI 1255393872) is an individual advanced practice midwife in San Angelo, Texas, licensed in Texas (AP111628) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Shannon Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1255393872

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameKELLIE MARIE RYAN - WILSONCredential: CNM

Location Address220 E. HARRISSan Angelo, TX 76903

Mailing AddressPo Box 22000San Angelo, TX 76902-7200 · (325) 658-1511 · Fax (325) 481-2165

Phone(325) 658-1511

Fax(325) 481-2165

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateApril 6, 2006

Last NPPES UpdateDecember 18, 20204 updates tracked since enumeration

NPPES CertifiedDecember 18, 2020

✔ NPI 1255393872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in TX · AP111628

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License AP111628 (TX)

220 E. HARRIS, San Angelo, TX 76903

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Other Names 1

Former Name (1)Kellie Ryan Cnp

Other Identifiers 2

Medicaid170388603TX

Other8Y3124TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kellie Marie Ryan - Wilson Cnm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284613852

PECOS Enrollment IDI20130506000425

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.

Medicare Billing Reassignments

Medicare enrollment records show Kellie Ryan - Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shannon Clinic

0.1 mi

Family Medicine

120 E BEAUREGARD AVE
San Angelo, TX 76903

Reassigned Medicare billing, Texas enrollment
671 clinicians in this Medicare group

NPI 1770587149 (325) 658-1511

Obhg Texas Holdings, P.A.

177 mi

Obstetrics & Gynecology

12221 N MOPAC EXPY
Austin, TX 78758

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Obhg Texas Holdings PA
998 clinicians in this Medicare group

NPI 1083917769 (800) 967-2289

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

24 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Shannon Medical Center

Acute Care Hospitals · San Angelo, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450571

Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76903 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Other Providers at the Same Location NPPES 17

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

MRS. ROXANNE ELKINS TIMM WHCNP

Nurse Practitioner (Women's Health)