Kellie Marie Ryan - Wilson, CNM
NPI 1255393872ActiveIndividual· Advanced Practice Midwife· San Angelo, TX
Advanced Practice Midwife (CNM) with Shannon Clinic, practicing in San Angelo, Texas. 32 Medicare patients in 2024, $3,265 paid; nearly all of their 50 Part D prescriptions were generic (90%). Intuitive Surgical, Inc. was the largest of 2 companies reporting payments in 2025, $1,317 in all, mostly travel and lodging. Lists Shannon Medical Center as a hospital affiliation.
Overview
| NPI | 1255393872 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CNM |
| Sole proprietor | No |
| NPI issued | Apr 6, 2006 |
| Last updated in NPPES | Dec 18, 2020 |
| Certified by provider | Dec 18, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Advanced Practice Midwife Primary | 367A00000X | AP111628 | TX |
| Nurse Practitioner, Women's Health | 363LW0102X | AP111628 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Nurse Midwife (Cnm) (TX); Practitioner - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 32 |
|---|---|
| Services billed | 1,268 across 16 procedure codes |
| Paid by Medicare | $3,265 |
Part D prescriptions in 2024
| Prescriptions (claims) | 50 · 111 30-day fills |
|---|---|
| Patients | 23 |
| Total drug cost | $1,986 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Certified Nurse Midwife (Cnm) |
Medical group
- Shannon ClinicSan Angelo, TX · 559 clinicians
Hospital affiliation
- Shannon Medical CenterSan Angelo, TX
Industry payments (Open Payments)
- 2025$1,317 · 8 payments from 2 companies
- 2024$19.97 · 3 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Intuitive Surgical, Inc. | $1,301 | 6 |
| Organon LLC | $15.72 | 2 |
What the 2025 payments were for
- Travel and Lodging$1,089 · 4 payments
- Food and Beverage$227.83 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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