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Active NPI 1255393872 Individual Practitioner Female Practitioner

Kellie Marie Ryan - Wilson , CNM

Advanced Practice Midwife • San Angelo, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kellie Ryan - Wilson, CNM is a certified Advanced Practice Midwife practicing in San Angelo, TX. With approximately 24 years of clinical experience since completing medical education in 2002, Kellie Ryan - Wilson delivers high-quality medical care to the local community at 220 E. HARRIS.

Kellie Ryan - Wilson is affiliated with Shannon Clinic and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, cervical or vaginal cancer screening; pelvic and clinical breast examination, pap test, manual screening. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

220 E. Harris

San Angelo, TX 76903

Telephone 3256581511
Fax 3254812165
Associated Practice Facility / Clinic
🏢 Shannon Clinic Facility NPI 1770587149

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Advanced Practice Midwife in San Angelo, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +10.0 yrs vs City Avg
City Avg: 14.0 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
6 Specialists

Practicing in San Angelo, TX (648 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ryan - Wilson (24 Years) 24 Yrs
San Angelo Specialty Average (14.0 Years) 14.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
24 23 $176.00 $91.53

Medical Specialties & State Licenses

CMS Verified: 2020-12-18
Advanced Practice Midwife Primary Specialty

NUCC Taxonomy Code: 367A00000X

State License TX AP111628

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling.

Nurse Practitioner - Women's Health

NUCC Taxonomy Code: 363LW0102X

State License TX AP111628

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
170388603 (TX)
Commercial Insurance / Payer ID Bcbs
8Y3124 (TX)

Hospital & Practice Group Affiliations

Shannon Clinic

220 E Harris Ave, San Angelo, TX 769035906

Phone: 3257471511

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Maegin Carlile , FNP

Nurse Practitioner

NPI 1003168055

Family Nurse Practitioner

Dr. Irvin Zeitler , DO

Family Medicine

NPI 1003856451

Doctor of Osteopathic Medicine (D.O.)

NPI 1003919994

Doctor of Medicine (M.D.)

Dr. Robert Carsner , MD

Internal Medicine

NPI 1013901032

Doctor of Medicine (M.D.)

NPI 1023095783

Doctor of Podiatric Medicine

Dr. Leslie Hutchins , MD

Neurological Surgery

NPI 1023278660

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2020

Nurse Practitioner (License #AP111628 in TX)

👤
Provider Name / Credentials Updated February 25, 2019

Recorded as KELLIE RYAN - WILSON, CNM

📍
Updated Practice Location July 07, 2018

Registered at 220 E. HARRIS, SAN ANGELO, TX 76903 (Tel: 3256581511)

👤
Provider Name / Credentials Updated July 07, 2018

Recorded as KELLIE RYAN WILSON, CNM

NPI Profile Active December 16, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 16, 2014

Registered at 225 E BEAUREGARD AVE, SAN ANGELO, TX 769035920 (Tel: 3256581511)

📍
Updated Business Mailing Address December 16, 2014

Registered at PO BOX 22000, SAN ANGELO, TX 769027200 (Tel: 3256581511)

👤
Provider Name / Credentials Updated December 16, 2014

Recorded as KELLIE RYAN, CNM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2014

Advanced Practice Midwife (License #AP111628 in TX)

🟢
Initial NPI Registration & Enumeration April 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255393872
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2006
Last Update: December 18, 2020
Sole Proprietor: No

Mailing Address

Po Box 22000

San Angelo, TX 769027200

Phone: 3256581511

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.