Kellie Marie Ryan - Wilson, CNM - Medicare Certified Nurse Midwife (cnm) in San Angelo, TX

Kellie Marie Ryan - Wilson, CNM is a medicare enrolled "Advanced Practice Midwife" in San Angelo, Texas. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Shannon Clinic and her current practice location is 220 E. Harris, San Angelo, Texas. You can reach out to her office (for appointments etc.) via phone at (325) 658-1511.

Kellie Marie Ryan - Wilson is licensed to practice in Texas (license number AP111628) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255393872.

Contact Information

Kellie Marie Ryan - Wilson, CNM
220 E. Harris,
San Angelo, TX 76903
(325) 658-1511
(325) 481-2165

Map and Direction




Provider's Profile

Full NameKellie Marie Ryan - Wilson
GenderFemale
SpecialityCertified Nurse Midwife (cnm)
Experience22 Years
Location220 E. Harris, San Angelo, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kellie Marie Ryan - Wilson graduated from nursing school in 2002
  NPI Data:
  • NPI Number: 1255393872
  • Provider Enumeration Date: 04/06/2006
  • Last Update Date: 12/18/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4284613852
  • Enrollment ID: I20130506000425

Medical Identifiers

Medical identifiers for Kellie Marie Ryan - Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255393872NPI-NPPES
170388603MedicaidTX
8Y3124OtherTXBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LW0102XNurse Practitioner - Women's Health AP111628 (Texas)Secondary
367A00000XAdvanced Practice Midwife AP111628 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Shannon Medical CenterSan angelo, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Shannon Clinic0840103727411

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. Kellie Marie Ryan - Wilson allows following entities to bill medicare on her behalf.
Entity NameShannon Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770587149
PECOS PAC ID: 0840103727
Enrollment ID: O20031222000702

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. Kellie Marie Ryan - Wilson 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 AddressPractice Location Address
Kellie Marie Ryan - Wilson, CNM
Po Box 22000,
San Angelo, TX 76902-7200

Ph: (325) 658-1511
Kellie Marie Ryan - Wilson, CNM
220 E. Harris,
San Angelo, TX 76903

Ph: (325) 658-1511

Reviews and Comments


Advanced Practice Midwife Nurses in San Angelo, TX

Kelsey Danielle Walts,
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 3501 Knickerbocker Rd, San Angelo, TX 76904
Phone: 325-747-3408    Fax: 325-747-2525
Cynthia Stokes, RN, MSN, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 1610 S Chadbourne St, San Angelo, TX 76903
Phone: 325-658-5339    Fax: 325-659-8534
Christina Arp, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 220 E. Harris, San Angelo, TX 76903
Phone: 325-481-2285    Fax: 325-481-2056
Opal L Smith, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 220 E. Harris, San Angelo, TX 76903
Phone: 325-658-1511    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.