Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053747493 Individual Practitioner Male Practitioner

Kenneth C Ryan , APRN

Nurse Practitioner • Jacksonville Beach, FL

Professional Overview & Biography Verified Profile Summary

Kenneth Ryan, APRN is a registered healthcare professional specializing in Nurse Practitioner in Jacksonville Beach, FL. Practice services are available at 1370 13TH AVE S STE 215 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1370 13th Ave S Ste 215

Jacksonville Beach, FL 322503206

Telephone 9042491041
Fax 9042499764
Associated Practice Facility / Clinic
🏢 Beaches Neurology Clinic Facility NPI 1932146875

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jacksonville Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Jacksonville Beach, FL (8990 Statewide)

Telehealth Adoption Rate
52.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
72 67 $259.00 $109.04
99213 Established patient office or other outpatient visit, typically 15 minutes
72 66 $183.00 $77.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
28 28 $363.00 $154.68

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN9367359

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Amanda Van Vliet

Nurse Practitioner

NPI 1013382365
Dr. Christopher Potter , MD

Psychiatry & Neurology - Neurology

NPI 1043207657

Doctor of Medicine (M.D.)

Dr. Karen Thalinger , MD

Psychiatry & Neurology - Neurology

NPI 1255328860

Doctor of Medicine (M.D.)

Dr. Warren Carrigan , MD

Psychiatry & Neurology - Neurology

NPI 1326282153

Doctor of Medicine (M.D.)

Dr. Kalina Sanders , MD

Psychiatry & Neurology - Neurology

NPI 1487704953

Doctor of Medicine (M.D.)

Dr. Pouya Shooliz , MD

Psychiatry & Neurology - Neurology

NPI 1508228529

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location February 12, 2019

Registered at 1370 13TH AVE S STE 215, JACKSONVILLE BEACH, FL 322503206 (Tel: 9042491041)

📍
Updated Business Mailing Address February 12, 2019

Registered at PO BOX 41113, JACKSONVILLE, FL 322031113 (Tel: 9043764400)

👤
Provider Name / Credentials Updated February 12, 2019

Recorded as KENNETH RYAN, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2019

Nurse Practitioner (License #APRN9367359 in FL)

📍
Updated Practice Location September 19, 2018

Registered at 3 SHIRCLIFF WAY STE 724, JACKSONVILLE, FL 322044786 (Tel: 9043087959)

NPI Profile Active November 20, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address November 20, 2017

Registered at 4205 BELFORT RD STE 4015, JACKSONVILLE, FL 322163623

📍
Updated Practice Location November 20, 2017

Registered at 350 PERTHSHIRE DR, ORANGE PARK, FL 320735770 (Tel: 9046316002)

👤
Provider Name / Credentials Updated November 20, 2017

Recorded as KENNETH RYAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2017

Nurse Practitioner (License #ARNP9367359 in FL)

NPI Profile Active September 17, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 17, 2013

Registered at 350 PERTHSHIRE DR, ORANGE PARK, FL 320735770 (Tel: 9046316002)

📍
Updated Business Mailing Address September 17, 2013

Registered at 350 PERTHSHIRE DR, ORANGE PARK, FL 320735770

👤
Provider Name / Credentials Updated September 17, 2013

Recorded as KENNETH RYAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2013

Registered Nurse (License #RN9367359 in FL)

🟢
Initial NPI Registration & Enumeration September 17, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053747493
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2013
Last Update: February 12, 2019
Sole Proprietor: Yes

Mailing Address

Po Box 41113

Jacksonville, FL 322031113

Phone: 9043764400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.