Individual provider Active NPI

Aleksey Ryan, DNP, APRN, FNP-C

  • Nurse Practitioner
  • West Fargo, ND
National Provider Identifier
1124959721
Registry record updated Jul 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
05268 Issued in ND
Practice address
567 32ND Ave E Ste 100
West Fargo, ND 58078-8480
Phone
(701) 941-3100
NPI assigned
May 25, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 05268 ND Primary

Addresses

Primary practice location

567 32ND Ave E Ste 100
West Fargo, ND 58078-8480

Mailing address

567 32ND Ave E Ste 100
West Fargo, ND 58078-8480
Phone (701) 941-3100

Other names 1

  • Aleksey Martinez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R46423NDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Dermatology PLLC PastSince Oct 27, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784419200000",
    "number": "1124959721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 32ND AVE E STE 100",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788480",
            "telephone_number": "701-941-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 32ND AVE E STE 100",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788480",
            "telephone_number": "701-941-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ALEKSEY",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-07-19",
        "certification_date": "2026-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "05268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEKSEY",
            "last_name": "MARTINEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Fargo, ND

Sources for this page

Verify at the official NPI Registry.