MR. CASEY RYAN BS, MA
NPI 1518476977
Case Manager/Care Coordinator in Waterford, MI

Q: What is Casey Ryan's NPI number?

The NPI number for Casey Ryan is 1518476977. It was assigned to this individual provider in the NPPES registry on September 28, 2017.

Q: What is Casey Ryan's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Casey Ryan was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 28, 2017PECOS Enrolled

279 SUMMIT DR, WATERFORD, MI 48328(800) 615-0411 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Casey Ryan Bs, Ma NPPES

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

MR. CASEY RYAN BS, MA (NPI 1518476977) is an individual case manager/care coordinator provider in Waterford, Michigan and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1518476977

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameMR. CASEY RYANCredential: BS, MA

Location Address279 SUMMIT DRWaterford, MI 48328-3364

Mailing Address6964 Pebble Park CirWest Bloomfield, MI 48322-3510 · (303) 242-2052

Phone(800) 615-0411

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateSeptember 28, 2017

Last NPPES UpdateDecember 9, 2025

NPPES CertifiedDecember 9, 2025

✔ NPI 1518476977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedCounselorTaxonomy 101Y00000X

Also ListedSocial WorkerTaxonomy 104100000X

279 SUMMIT DR, Waterford, MI 48328

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Casey Ryan Bs, Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062905698

PECOS Enrollment IDI20251203000622

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.

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.

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