AMANDA RYAN
NPI 1366897696
Nurse Practitioner in Detroit, MI

Q: What is Amanda Ryan's NPI number?

The NPI number for Amanda Ryan is 1366897696. It was assigned to this individual provider in the NPPES registry on April 23, 2016.

Q: What is Amanda Ryan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Ryan was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since April 23, 2016PECOS EnrolledAccepts Medicare Assignment

80.59/100

CMS Quality Rating

3990 JOHN R ST, DETROIT, MI 48201(313) 745-5111(313) 993-2574 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2023, Mar 17, 2018, Nov 9, 2017 (3 updates tracked since 2017).

On this page

About Amanda Ryan NPPES

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

AMANDA RYAN (NPI 1366897696) is an individual nurse practitioner in Detroit, Michigan, licensed in Michigan (4704278661) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health West Bloomfield Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1366897696

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameAMANDA RYAN

Location Address3990 JOHN R STDetroit, MI 48201-2018

Mailing Address6777 W Maple RdWest Bloomfield, MI 48322-3013 · (248) 325-1555

Phone(313) 745-5111

Fax(313) 993-2574

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateApril 23, 2016

Last NPPES UpdateNovember 8, 20233 updates tracked since enumeration

NPPES CertifiedNovember 8, 2023

✔ NPI 1366897696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704278661

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 4704278661 (MI)

3990 JOHN R ST, Detroit, MI 48201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Ryan 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 ID1254698681

PECOS Enrollment IDI20171120002323

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.

Hospital Affiliations CMS Care Compare

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

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230302

Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

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.

80.59/100

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

Scored as part of a group practice

Quality

53.55

Promoting Interoperability

100

Improvement Activities

Cost

52.03

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Other Providers at the Same Location NPPES 20

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

KIMBERLY DAWN HARRIS CRNA

Nurse Anesthetist, Certified Registered