Ryan Alexander Nelson, PA-C
Individual provider Active NPI Medical Physician Assistant · Naples, FL
NPI 1134655152 · NPPES record last updated Jan 8, 2025
Key facts
- NPI
- 1134655152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA9113002 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nchmd Inc
The Moorings Incorporated
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
- Naples Community Hospital
- Physicians Regional Medical Center - Pine Ridge
- Lee Memorial Hospital
- Bentley Care Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.2 of 100
- Promoting interoperability
- 92
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.25 of 100
- Quality
- 87.73
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200310001688 | FL | Practitioner - Physician Assistant | 4486928579 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9113002 | FL | MD | Medical Physician Assistant |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nchmd, Inc | Current |
Accepting new patients | |
| Nchmd Inc | Current |
Accepting new patients | |
| Orthopedic Specialists of SW Florida, P.a. | Past | Accepting new patients | |
| Infinite Health Collaborative, PA | 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
- rnelson@osswf.emadirect.md
- rnelson78028@nchhealthcaresystem.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 12496 | MN | |
| Medical Physician Assistant | 363AM0700X | PA9113002 | FL | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QIJMQ | Other | FL | BCBS |
| 108562100 | Medicaid | FL |
NPI Registry JSON
{
"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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "QIJMQ",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108562100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Naples, FL
- April Inez Nelson
- Bethany J Nelson
- Debbie Stone Nelson
- Jon E Nelson
- Linda B Nelson
- Talia Nelson
- Betty Lynn Nemeth
- Neogenomics Laboratories Inc
- Nephrology and Hypertension Specialists Inc
- Nephrology Institute of Naples, PA
All providers in Naples, FL · Medical Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.