NPIMap

Individual provider Active NPI

Ryan Alexander Nelson, PA-C

  • Medical Physician Assistant
  • Naples, FL
National Provider Identifier
1134655152
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9113002 Issued in FL
Practice address
1285 Creekside Blvd E Unit 102
Naples, FL 34109-0595
Phone
(239) 624-1700
Fax
(239) 624-0311
NPI assigned
May 11, 2017
Last updated
Jan 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 12496 MN
Medical Physician Assistant 363AM0700X PA9113002 FL Primary

Addresses

Primary practice location

1285 Creekside Blvd E Unit 102
Naples, FL 34109-0595

Mailing address

1285 Creekside Blvd E Unit 102
Naples, FL 34109-0595
Phone (239) 624-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200310001688 FL Practitioner - Physician Assistant 4486928579 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
The Moorings IncorporatedGroup PAC ID 4688832066, shared by 2 NPIs, 116 clinicians

Practice addresses (Care Compare)

11190 Health Park Blvd
Naples, FL 34110-5729
Phone (239) 552-7000

120 Moorings Park Dr
Naples, FL 34105-2122

1285 Creekside Blvd E
Naples, FL 34109-0595

130 Moorings Park Dr
Naples, FL 34105-2122

680 2ND Ave N
Suite 304
Naples, FL 34102-5757
Phone (239) 261-7711

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.2 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as apm
Quality
87.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
12496MNMDClinical Social Worker
PA9113002FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd, Inc CurrentSince Jan 4, 2024 Accepting new patients
Nchmd Inc CurrentSince Jan 4, 2024 Accepting new patients
Infinite Health Collaborative, PA Past Accepting new patients
Orthopedic Specialists of SW Florida, P.a. Past Accepting new patients

Locations

1285 Creekside Blvd E
Unit 102
Naples, FL 34109
Phone (239) 624-0310

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rnelson@osswf.emadirect.md
  • Direct secure messaging: rnelson78028@nchhealthcaresystem.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1134655152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 CREEKSIDE BLVD E UNIT 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090595",
            "telephone_number": "239-624-1700",
            "fax_number": "239-624-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 CREEKSIDE BLVD E UNIT 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090595",
            "telephone_number": "239-624-1700",
            "fax_number": "239-624-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "RYAN",
        "middle_name": "ALEXANDER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "12496",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9113002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.