Kelly Ryan, PMHNP-BC, APRN-CNP in Traverse City, MI

Kelly Ryan, PMHNP-BC, APRN-CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Traverse City, Michigan. Her current practice location is 3155 Logan Valley Rd, Traverse City, Michigan. You can reach out to her office (for appointments etc.) via phone at (402) 677-9083.

Kelly Ryan is licensed to practice in Michigan (license number 6401017335) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134675192.

Contact Information

	Kelly Ryan, PMHNP-BC, APRN-CNP
	3155 Logan Valley Rd, Traverse City, MI 49684-4772
	(402) 677-9083
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Ryan
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3155 Logan Valley Rd, Traverse City, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134675192
Provider Enumeration Date: 08/30/2016
Last Update Date: 06/02/2026

Medicare PECOS Information:

PECOS PAC ID: 6608156716
Enrollment ID: I20161207001519

Medical Identifiers

Medical identifiers for Kelly Ryan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134675192	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	6401017335 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Ryan allows following entities to bill medicare on her behalf.

Entity Name	Wellness Card Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558678151 PECOS PAC ID: 6800078791 Enrollment ID: O20110314001091

Entity Name	Woodman Primary Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346582608 PECOS PAC ID: 7416199799 Enrollment ID: O20130815000922

Entity Name	Farrellco, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578993572 PECOS PAC ID: 4284862707 Enrollment ID: O20140108000788

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Ryan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelly Ryan, PMHNP-BC, APRN-CNP 3155 Logan Valley Rd, Traverse City, MI 49684-4772 Ph: (402) 677-9083	Kelly Ryan, PMHNP-BC, APRN-CNP 3155 Logan Valley Rd, Traverse City, MI 49684-4772 Ph: (402) 677-9083

Reviews and Comments

Nurse Practitioner Nurses in Traverse City, MI

Dr. Ariel Marie Ennis, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-3250
Harriet Sue Barner, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Pavillions Cir, Traverse City, MI 49684 Phone: 231-932-3000 Fax: 231-932-3801
Ms. Christine Marie Sykes, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10767 E Traverse Hwy, Traverse City, MI 49684 Phone: 231-947-1112
Ms. Karri G Hagan, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 Business Park Dr Ste A, Traverse City, MI 49686 Phone: 231-421-6921 Fax: 231-421-7852
Matthew Nathan Smith, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1104 Cass St, Traverse City, MI 49684 Phone: 231-941-1155 Fax: 231-259-1005
Carol Jean Sodman, RNC WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1135 E 8th St, Traverse City, MI 49686 Phone: 231-929-1844 Fax: 231-949-2084
Laura A. Schmidt, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 921 W Front St, Traverse City, MI 49684 Phone: 231-995-3657

Kelly Ryan, PMHNP-BC, APRN-CNP - Medicare Nurse Practitioner in Traverse City, MI