Individual provider Active NPI

Ryan Anthony Ficklen, AGACNP

  • Acute Care Nurse Practitioner
  • Bryan, TX
National Provider Identifier
1184540155
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1021971 Issued in TX
Practice address
2605 Osler Blvd
Bryan, TX 77802-2516
Phone
(979) 776-4261
NPI assigned
Jun 25, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1021971 TX Primary

Addresses

Primary practice location

2605 Osler Blvd
Bryan, TX 77802-2516

Mailing address

2605 Osler Blvd
Bryan, TX 77802-2516
Phone (979) 776-4261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1782345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1184540155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 OSLER BLVD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022516",
            "telephone_number": "979-776-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 OSLER BLVD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022516",
            "telephone_number": "979-776-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICKLEN",
        "first_name": "RYAN",
        "middle_name": "ANTHONY",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-25",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1021971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.