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AMANDA RYAN
NPI 1366897696
Nurse Practitioner in Detroit, MI

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: October 18, 2026.

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

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 maintains 2 additional practice locations.

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
Open in Google Maps ↗

Secondary Practice Locations 2

Location 157486 Nicholas DrWashington Township, MI 48094-3159 · Phone (586) 557-9348
Location 26777 W Maple RdWest Bloomfield, MI 48322-3013 · Phone (248) 325-1555

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

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.

Medicare Billing Reassignments

2

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

Henry Ford Health System
6.9 mi
Nurse Practitioner
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 577 clinicians in this Medicare group
NPI 1104900455 (313) 916-2600
Vhs Physicians Of Michigan
16 mi
Internal Medicine
29201 TELEGRAPH RD STE 404N
Southfield, MI 48034
  • Reassigned Medicare billing, Michigan enrollment
  • 407 clinicians in this Medicare group
NPI 1073827101 (248) 450-3507

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

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
Quality53.55
Promoting Interoperability100
Improvement Activities40
Cost52.03

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
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-8521
CAROLINE L TALBERT CRNA
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-7600
CHISAOKWU DURU
Anesthesiology
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-7233
MR. MOHAMED IBRAHIM BAZZI
Occupational Therapist
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (810) 333-1822
DR. SAMIR F FULEIHAN M.D.
Anesthesiology
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-8521
DR. KAMAL K NANGIA
Emergency Medicine
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-8040
TODD E HAMILTON CRNA
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-7600
MITCHELL R BRADLEY CRNA
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 745-7600

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 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.

Where is Amanda Ryan located?

Amanda Ryan practices at 3990 John R St, Detroit, MI 48201. The listed phone number is (313) 745-5111.

What is Amanda Ryan's specialty?

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

Is Amanda Ryan enrolled in Medicare?

Yes. Amanda Ryan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Amanda Ryan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Ryan reassigns Medicare benefits to 2 organizations: Henry Ford Health System (Detroit, MI) and Vhs Physicians Of Michigan (Southfield, MI). 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 Amanda Ryan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Ryan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Amanda 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.

Is Amanda Ryan affiliated with any hospitals?

According to CMS data, Amanda Ryan is affiliated with Henry Ford Health West Bloomfield Hospital.

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.