Individual provider Active NPI

Ryan William Huffman, DNP-PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1235632597
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
7667 Issued in MN
Practice address
360 Sherman St # 390
Saint Paul, MN 55102-2564
Phone
(612) 924-3807
NPI assigned
Mar 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60466387 WA
Registered Nurse 163W00000X 2484456 MN
Registered Nurse 163W00000X 201802244RN OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 201804484NP-PP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 7667 MN Primary

Addresses

Primary practice location

360 Sherman St # 390
Saint Paul, MN 55102-2564

Mailing address

1283 Lincoln Ave
Saint Paul, MN 55105-2714
Phone (865) 200-6160

Other identifiers 1

IdentifierTypeStateIssuer
500757123MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WA2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231129003624 MN Practitioner - Nurse Practitioner 0244570562 Reassigns benefits to 1 organization
I20250827001393 WA Practitioner - Nurse Practitioner 0244570562 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15027 75TH Ave NE
Kenmore, WA 98028-4649

5047 SW View Point Ter
Portland, OR 97239-3906

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2484456MNMDRegistered Nurse
201802244RNORMDRegistered Nurse
RN60466387WAMDRegistered Nurse
7667MNMDSpeech-Language Pathologist
201804484NP-PPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Connectionswa, LLC CurrentSince Aug 1, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince Aug 12, 2025 Accepting new patients
Connectionswa, LLC CurrentSince Aug 1, 2025 Accepting new patients
Huffman Institute Inc Psychiatric/Mental Health CurrentSince Jun 27, 2023 Accepting new patients
Precision Mental Performance LLC Psychiatric/Mental Health PastSince May 17, 2020 Accepting new patients

Locations

1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647

2785 White Bear Ave N
Ste 404
Maplewood, MN 55109
Phone (651) 447-7071

752 Grand Ave
Ste 1
Saint Paul, MN 55105
Phone (651) 447-7071

11410 NE 122nd Way
Ste S250
Kirkland, WA 98034
Phone (425) 650-4005

Organizations & group practices 5

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": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1235632597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1283 LINCOLN AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052714",
            "telephone_number": "865-200-6160",
            "fax_number": "503-379-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SHERMAN ST # 390",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022564",
            "telephone_number": "612-924-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "RYAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DNP-PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-13",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60466387",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2484456",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201802244RN",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201804484NP-PP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "7667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500757123",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.