Ryan Hillman Reynolds, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9385174 Issued in FL

Practice address

1100 11TH St SW
Live Oak, FL 32064-3608

Phone

(386) 362-0800

NPI assigned

Aug 1, 2018

Last updated

Aug 1, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, GA, NE, IA4 enrollments

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.

Enrollment records 4

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cambridge Memorial Hospital IncGroup PAC ID 2466346077, shared by 6 NPIs, 28 clinicians

South Georgia Emergency Medicine Associates PCGroup PAC ID 4880850775, 33 clinicians

Paragon Emergency Services LLCGroup PAC ID 8628153087, 401 clinicians

Medlink Management Services IncGroup PAC ID 2466360797, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tri Valley Health System Hospital, Cambridge, NE, CCN 281348
• Hawarden Regional Healthcare Hospital, Hawarden, IA, CCN 161311
• SGMC Health Hospital, Valdosta, GA, CCN 110122

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Medlink Management Services Inc

  dba Lake Butler Hospital

  • Critical Access Hospital
  • Lake Butler, FL
  • NPI 1013972272
  Medicare reassignment Care Compare group NPD
• Paragon Emergency Services LLC

  • Emergency Medicine Physician
  • Winter Haven, FL
  • NPI 1912101650

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• South Georgia Emergency Medicine Associates PC

  • Emergency Medicine Physician
  • Thomasville, GA
  • NPI 1386903649
  Medicare reassignment Care Compare group NPD
• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment NPD
• FL-I Medical Services, LLC

  • Nurse Practitioner
  • Fort Pierce, FL
  • NPI 1750655106
  Medicare reassignment NPD
• Mercy Medical Urgent Care Center

  • Urgent Care Clinic/Center
  • Lake City, FL
  • NPI 1891113064
  Medicare reassignment NPD
• St Vincent's Full Service Urgent Care, LLC

  • Occupational Medicine Clinic/Center
  • Jacksonville, FL
  • NPI 1750672051
  Medicare reassignment NPD
• Cambridge Memorial Hospital Inc

  dba Tri Valley Health System

  • Critical Access Hospital
  • Cambridge, NE
  • NPI 1548333214
  Medicare reassignment NPD
• Cambridge Memorial Hospital Inc

  • Family Medicine Physician
  • Cambridge, NE
  • NPI 1740462654
  Medicare reassignment NPD
• Hawarden Regional Healthcare Clinics LLC

  • Family Medicine Physician
  • Hawarden, IA
  • NPI 1750324612
  Medicare reassignment NPD
• SGMC Affiliated Services LLC

  • Multi-Specialty Clinic/Center
  • Valdosta, GA
  • NPI 1114740362
  Medicare reassignment NPD
• FL-I Medical Services LLC

  • Physician Assistant
  • Haines City, FL
  • NPI 1285356790

  Nurse Practitioner

  NPD

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

• Cambridge Memorial Hospital Inc

  dba Tri Valley Health System

  • Critical Access Hospital
  • Cambridge, NE
  • NPI 1548333214
  Care Compare affiliation
• Hawarden Regional Healthcare

  • Critical Access Hospital
  • Hawarden, IA
  • NPI 1841261104
  Care Compare affiliation
• South Georgia Medical Center Inc

  dba SGMC Health

  • General Acute Care Hospital
  • Valdosta, GA
  • NPI 1144096553
  Care Compare affiliation

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1245718295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 11TH ST SW",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320643608",
            "telephone_number": "386-362-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "RYAN",
        "middle_name": "HILLMAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9385174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary K. Ratliff, LMT
• Sarah Michelle Ratliff
• James C Razi, M.D.
• Alec Floyd Redfearn Jr., DDS
• Renaldas Algirdas Smidtas
• Richard D. Cason, P.a.
• Cynthia Richards
• Cherie Donley Richey, PHARM D
• Lorrie Rivera
• Riverbend Midwifery, LLC

• Nurse Practitioner in Live Oak, FL
• Providers in Live Oak, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.