NICOLE RUTH RYAN RN, DNP, PMHNP-BC
NPI 1417576752
Nurse Practitioner - Psychiatric/Mental Health in Louisville, KY

Q: What is Nicole Ryan's NPI number?

The NPI number for Nicole Ryan is 1417576752. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Q: What is Nicole Ryan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Ryan was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 15, 2020PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

4420 DIXIE HWY STE 114, LOUISVILLE, KY 40216(502) 449-6464(502) 449-6465 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 27, 2020, Jun 12, 2020, Apr 15, 2020 (3 updates tracked since 2020).

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About Nicole Ruth Ryan Rn, Dnp, Pmhnp-bc NPPES

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

NICOLE RUTH RYAN RN, DNP, PMHNP-BC (NPI 1417576752) is an individual psychiatric/mental health provider in Louisville, Kentucky, licensed in Kentucky (3014455) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1417576752

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameNICOLE RUTH RYANCredential: RN, DNP, PMHNP-BC

Location Address4420 DIXIE HWY STE 114Louisville, KY 40216-2986

Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116

Phone(502) 449-6464

Fax(502) 449-6465

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 15, 2020

Last NPPES UpdateOctober 27, 20203 updates tracked since enumeration

NPPES CertifiedOctober 27, 2020

✔ NPI 1417576752 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 KY · 3014455

4420 DIXIE HWY STE 114, Louisville, KY 40216

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Ruth Ryan Rn, Dnp, Pmhnp-bc 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 ID7214359983

PECOS Enrollment IDI20200625001544

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.

Areas of Expertise CMS Part B claims 2

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

34 services16 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40216 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

100/100

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

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 11

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

ANNE M FOGLE MD

Family Medicine