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

Kellie Marie Ryan - Wilson, CNM

Individual provider Women's Health Nurse Practitioner · NPI 1255393872

Kellie Marie Ryan - Wilson, CNM is a Certified Nurse Midwife (CNM) in San Angelo, Texas. Qualified in 2002, 24 years ago. Practices with Shannon Clinic, a 547-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
24
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

See every abbreviation used in this directory →

Practice location Address checks out

220 E Harris
San Angelo, TX 76903
Phone: (325) 658-1511
Fax: (325) 481-2165
Show map & directions

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

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence AP111628 (TX)
Women's Health Nurse Practitioner Taxonomy 363LW0102X · Licence AP111628 (TX)

Record details

NPI number1255393872
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNM
Sole proprietorNo
NPI enumeratedApril 6, 2006
Last updated in NPPESDecember 18, 2020
Certification dateDecember 18, 2020

Medicare enrollment

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

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Shannon Clinic — 547 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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