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

Mr. Ryan Jeffrey Caldwell

Individual provider Registered Nurse · NPI 1821663857

Mr. Ryan Jeffrey Caldwell is a Nurse Practitioner in Dearborn, Michigan. Qualified in 2021, 5 years ago. Practices with Beaumont Medical Group Hospital Based Services, a 572-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone: (313) 593-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5450 Fort St Ste 100, Trenton, MI 48183-4601 — (734) 642-2482
  • 5450 Fort St, Trenton, MI 48183-4601 — (734) 671-3800

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704302102 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704302102 (MI)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 4704302102 (MI)

Record details

NPI number1821663857
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 21, 2021
Last updated in NPPESAugust 31, 2022
Certification dateAugust 31, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Beaumont Medical Group Hospital Based Services — 572 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Dearborn