Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Ryan, FNP-C

Individual provider Registered Nurse · NPI 1174148712

Justin Ryan, FNP-C is a Nurse Practitioner in Lambertville, Michigan. Graduated from University of Toledo College of Medicine in 2020, 6 years ago. Practices with Promedica Monroe Physicians, a 64-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Ohio.

Years since qualifying
6
Trained at
University of Toledo College of Medicine
Licensed in
MI, OH
In the registry since
2020
Specialties on file
3
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

3175 Smith Rd
Lambertville, MI 48144-9434
Phone: (734) 856-5494
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704350098 (MI)
Registered Nurse Taxonomy 163W00000X · Licence RN.404739 (OH)
Registered Nurse Taxonomy 163W00000X · Licence 4704350098 (MI)

Record details

NPI number1174148712
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 9, 2020
Last updated in NPPESNovember 3, 2023
Certification dateJune 16, 2020
Mailing address3175 Smith Rd, Lambertville, MI 48144-9434

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Promedica Monroe Physicians — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lambertville