Individual provider Active NPI

Ryan E Waugh, FNP

  • Family Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1992319248
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704247667 Issued in MI
Practice address
912 S Washington Ave Ste B
Saginaw, MI 48601-2578
Phone
(989) 791-7900
NPI assigned
Sep 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704247667 MI Primary

Addresses

Primary practice location

912 S Washington Ave Ste B
Saginaw, MI 48601-2578

Mailing address

912 S Washington Ave Ste B
Saginaw, MI 48601-2578
Phone (989) 791-7900

Other practice location 1

3253 Congress Ave
Saginaw, MI 48602-3106
Phone (989) 475-4171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20200911001613 MI Practitioner - Nurse Practitioner 7517385297 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saginaw Psychological Services IncGroup PAC ID 8426961467, 19 clinicians

Practice addresses (Care Compare)

2100 Hemmeter Rd
Saginaw, MI 48603-3944
Phone (989) 799-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Amaning K Sarkodie, MD,PLC CurrentSince Dec 1, 2022 Accepting new patients
Saginaw Psychological Services, Inc. CurrentSince May 2, 2024 Accepting new patients
McDowell Healing Arts Center LLC CurrentSince Jun 15, 2024 Accepting new patients

Locations

3444 Davenport Ave
Saginaw, MI 48602
Phone (833) 855-2001

3995 Fashion Square Blvd
Ste 6
Saginaw, MI 48603
Phone (989) 475-4171

2100 Hemmeter Rd
Saginaw, MI 48603
Phone (989) 799-2100

3253 Congress Ave
Saginaw, MI 48602
Phone (989) 475-4171

Interoperability endpoints

  • Direct secure messaging: rwaugh97073@direct.covenanthealthcare.com

Organizations & group practices 3

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": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1992319248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 S WASHINGTON AVE STE B",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486012578",
            "telephone_number": "989-791-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 S WASHINGTON AVE STE B",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486012578",
            "telephone_number": "989-791-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3253 Congress Ave",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486023106",
            "country_code": "US",
            "telephone_number": "989-475-4171",
            "fax_number": "989-393-6021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAUGH",
        "first_name": "RYAN",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-03",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704247667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.