Individual provider Active NPI

Ryan Matthew Gil, FNP

  • Family Nurse Practitioner
  • Raceland, LA
National Provider Identifier
1255083291
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
223824 Issued in LA
Practice address
4608 Highway 1
Raceland, LA 70394-2623
Phone
(985) 537-8365
Fax
(985) 537-8365
NPI assigned
Jan 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 223824 LA Primary

Addresses

Primary practice location

4608 Highway 1
Raceland, LA 70394-2623

Mailing address

201 Darlene St
Thibodaux, LA 70301-2000
Phone (985) 605-4391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220504002661 LA Practitioner - Nurse Practitioner 0547657868 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
223824LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Louisiana Medical Associates Family Current Accepting new patients
Raceland Emergency Group, LLC Nurse Practitioner CurrentSince Mar 18, 2022 Accepting new patients
Thibodaux Emergency Physicians Group LLC CurrentSince Feb 15, 2024 Accepting new patients
St Mary Emergency Group LLC Nurse Practitioner CurrentSince Apr 4, 2022 Accepting new patients
South Louisiana Medical Associates CurrentSince Aug 14, 2024 Accepting new patients
Thibodaux Regional Network Development Corporation Current Accepting new patients
Thibodaux Regional Network Development Corporation CurrentSince May 10, 2022 Accepting new patients
Thibodaux Regional Network Development Corporation CurrentSince May 10, 2022 Accepting new patients
South Louisiana Medical Associates Nurse Practitioner CurrentSince Aug 14, 2024 Accepting new patients

Locations

1990 Industrial Blvd
Houma, LA 70363
Phone (985) 868-9300

1125 Marguerite St
Morgan City, LA 70380
Phone (985) 380-4434

4608 Highway 1
Raceland, LA 70394
Phone (504) 537-6841

602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544

Organizations & group practices 9

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

Hospital & facility affiliations 3

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Mary Emergency Group LLC 16 clinicians
Raceland Emergency Group LLC 12 clinicians
Thibodaux Regional Network Development Corporation 138 clinicians

Practice addresses (Care Compare)

1125 Marguerite St
Morgan City, LA 70380-1855
Phone (985) 380-4434

4608 Hwy 1
Raceland, LA 70394-2623
Phone (985) 537-6841

602 N Acadia Rd
Thibodaux, LA 70301-4823

602 N Acadia Rd
Thibodaux, LA 70301-4847

608 N Acadia Rd
Thibodaux, LA 70301-4847

Hospital & facility affiliations

  • Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004
  • Ochsner St Mary Hospital, Morgan City, LA, CCN 190014
  • Ochsner St Anne General Hospital Hospital, Raceland, LA, CCN 191324

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1255083291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DARLENE ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703012000",
            "telephone_number": "985-605-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4608 HIGHWAY 1",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942623",
            "telephone_number": "985-537-8365",
            "fax_number": "985-537-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIL",
        "first_name": "RYAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "223824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raceland, LA

Sources for this page

Verify at the official NPI Registry.