Individual provider Active NPI

Ryan Daniel Kent, FNP-BC FPA

  • Family Nurse Practitioner
  • Oswego, IL
National Provider Identifier
1265021919
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277003448 Issued in IL
Practice address
74 W Washington St
Oswego, IL 60543-8267
Phone
(630) 636-6193
Fax
(630) 982-6014
NPI assigned
Jan 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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 277003448 IL Primary

Addresses

Primary practice location

74 W Washington St
Oswego, IL 60543-8267

Mailing address

74 W Washington St
Oswego, IL 60543-8267
Phone (630) 636-6193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20210610001120 IL Practitioner - Nurse Practitioner 1658771811 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277003448ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senf NP Family Medicine PLLC CurrentSince May 5, 2023 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Aug 1, 2022 Accepting new patients
Hello Gorgeous, P.C. Family CurrentSince Jun 15, 2025 Accepting new patients
Paragon Clinical LLC Family CurrentSince Jan 7, 2022 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Aug 1, 2022 Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients
Whole Child Pediatrics Natalie Drummond Limited PastSince Jan 1, 2023 Accepting new patients

Locations

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

1122 Willow Rd
Northbrook, IL 60062
Phone (847) 686-4444

74 W Washington St
Oswego, IL 60543
Phone (630) 554-8002

1901 N Roselle Rd
Ste 800
Schaumburg, IL 60195
Phone (847) 220-7603

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1265021919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 W WASHINGTON ST",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438267",
            "telephone_number": "630-636-6193",
            "fax_number": "630-982-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 W WASHINGTON ST",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438267",
            "telephone_number": "630-636-6193",
            "fax_number": "630-982-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "RYAN",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "FNP-BC FPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-15",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277003448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

Verify at the official NPI Registry.