Individual provider Active NPI

Kristen Nicole Ryan

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1740965292
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
L8-0010439 Issued in DE
Practice address
5205 W Woodmill Dr Ste 33LL
Wilmington, DE 19808-4068
Phone
(302) 268-3020
Fax
(302) 406-2741
NPI assigned
Jun 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0010439 DE Primary

Addresses

Primary practice location

5205 W Woodmill Dr Ste 33LL
Wilmington, DE 19808-4068

Mailing address

5205 W Woodmill Dr Ste 33LL1Q
Wilmington, DE 19808-4068
Phone (631) 317-8543

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230913002415 DE Practitioner - Nurse Practitioner 1557725207 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Treatment Network LLC 11 clinicians
Med Psych Services LLC 6 clinicians

Practice addresses (Care Compare)

1201 Philadelphia Pike
Wilmington, DE 19809-2042
Phone (302) 798-4400

1201 Philadelphia Pike
Wilmington, DE 19809-2043

1206 Forrest Ave
Dover, DE 19904-3311
Phone (877) 286-5115

5163 W Woodmill Dr
Suite 13
Wilmington, DE 19808-4067
Phone (302) 660-7200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8-0010439DEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atn Physicians & Associates LLC CurrentSince Feb 6, 2024 Accepting new patients
American Treatment Network LLC CurrentSince Feb 6, 2024 Accepting new patients
Med Psych Services LLC CurrentSince Jul 31, 2023 Accepting new patients
Ryan Resource Management LLC Psychiatric/Mental Health CurrentSince Aug 5, 2025 Accepting new patients

Locations

1206 Forrest Ave
Dover, DE 19904
Phone (302) 416-4453

1201 Philadelphia Pike
Wilmington, DE 19809
Phone (302) 798-4400

5205 W Woodmill Dr
Ste 33LL
Wilmington, DE 19808
Phone (302) 468-6414

401 7th Ave
Wilmington, DE 19805

5163 W Woodmill Dr
Ste 13
Wilmington, DE 19808
Phone (302) 660-7200

1120 W Township Line Rd
Ste 200
Havertown, PA 19083
Phone (484) 451-8313

Organizations & group practices 4

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": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1740965292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 W WOODMILL DR STE 33LL1Q",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084068",
            "telephone_number": "631-317-8543",
            "fax_number": "302-406-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 W WOODMILL DR STE 33LL",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084068",
            "telephone_number": "302-268-3020",
            "fax_number": "302-406-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "KRISTEN",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.