Ryan Neal Adams, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Mount Vernon, OH
NPI 1164201307 · NPPES record last updated Jun 24, 2026
Key facts
- NPI
- 1164201307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN.CNP.0041395 (OH)
- Practice address
- 206 S Mulberry St
Mount Vernon, OH 43050-3331 - Phone
- (740) 326-1231
- Fax
- (740) 326-1175
- NPI assigned
- Sep 26, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Revive Behavioral Health, LLC
Practice addresses (Care Compare)
206 S Mulberry St
Suite a
Mount Vernon, OH 43050-3331
Phone (740) 326-1231
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20260406000215 | OH | Practitioner - Nurse Practitioner | 5799250023 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Bachelor of Science, Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.370826 | OH | MD | Registered Nurse |
| APRN.CNP.0041395 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simona L Moore CNP LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.0041395 | OH | Yes |
Addresses
Primary practice location
206 S Mulberry St
Mount Vernon, OH 43050-3331
Mailing address
206 S Mulberry St Ste a
Mount Vernon, OH 43050-3331
Phone (740) 326-1231
Other practice location 1
9 S Mulberry St
Mount Vernon, OH 43050-3217
Phone (740) 326-1231
Other providers in Mount Vernon, OH
- A Touch of Grace Health Care, Inc.
- A Touch of Grace Inc.
- A Touch of Grace of Marion Inc.
- Gerald Dean Abbott Jr.
- Jessica Adams
- Christina Adelman
- Karla Renee Adu
- Alan a Newman
- Alcohol & Drug Freedom Center
- Alcohol and Drug Freedom Center of Knox County
All providers in Mount Vernon, OH · Psychiatric/Mental Health Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2026. 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.