Active NPI
Ryan K Clarke, APRN
- Family Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9257891
- Practice address
- 12280 Lake Underhill Rd
Orlando, FL 32825-5009 - Phone
- (866) 389-2727
- NPI assigned
- Jan 10, 2017
- Last updated
- Feb 2, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AC005872 | MD | |
| Family Nurse Practitioner | 363LF0000X | 5019547 | NC | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0034186 | OH | |
| Family Nurse Practitioner | 363LF0000X | 24189194 | VA | |
| Family Nurse Practitioner | 363LF0000X | APRN9257891 | FL | Primary |
Addresses
Primary practice location
12280 Lake Underhill Rd
Orlando, FL 32825-5009
Mailing address
24250 Royal Fern Dr
Lutz, FL 33559-7333
Phone (727) 831-9733
Other practice location 1
2797 Nc 55 Hwy
Cary, NC 27519-6206
Phone (866) 389-2727
Other practice location 2
7955 Tuckerman Ln
Rockville, MD 20854-3243
Phone (866) 389-2727
Other practice location 3
4961 Roberts Rd
Hilliard, OH 43026-8129
Phone (866) 389-2727
Other practice location 4
6100 Arlington Blvd
Falls Church, VA 22044-2901
Phone (866) 389-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, DC, OH, VA, NC, PA, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11729 Roe Ave
Leawood, KS 66211-2605
Phone (800) 389-2727
1218 E Lancaster Ave
Bryn Mawr, PA 19010-2616
Phone (866) 389-2727
1929 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9202
Phone (866) 389-2727
19305 Ruby Dr
Leesburg, VA 20176-6508
Phone (866) 389-2727
4961 Roberts Rd
Hilliard, OH 43026-8129
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9257891 | FL | MD | Family Nurse Practitioner |
| 24189194 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Physician Group Inc | Nurse Practitioner | Current | Accepting new patients |
| Minuteclinic Video Virtual Care, PLLC | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic of Virginia LLC | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic of Kansas PA | Family | Current | Accepting new patients |
| Hni Medical Services of Florida, LLC | Nurse Practitioner | Current | Accepting new patients |
| Minuteclinic Diagnostic of Ohio LLC | Family | Current | Accepting new patients |
| Pioneer Medical Group, PL | Nurse Practitioner | Current | Accepting new patients |
| Minuteclinic Diagnostic of Pennsylvania LLC | Family | Current | Accepting new patients |
Locations
900 N Robert Ave
Arcadia, FL 34266
Phone (863) 494-8426
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
9241 Park Royal Dr
Fort Myers, FL 33908
Phone (239) 985-2700
1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
515 Chesapeake Dr
Tarpon Springs, FL 34689
Phone (727) 934-4629
13067 N Telecom Pkwy
Temple Terrace, FL 33637
Phone (813) 333-9108
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
29910 State Road 56
Wesley Chapel, FL 33543
Phone (813) 333-0000
38250 A Ave
Zephyrhills, FL 33542
Phone (813) 732-5608
11729 Roe Ave
Shawnee Mission, KS 66211
Phone (877) 646-2546
4961 Roberts Rd
Hilliard, OH 43026
Phone (614) 850-2407
1218 E Lancaster Ave
Bryn Mawr, PA 19010
Phone (610) 519-1920
840 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 362-6303
1500 Spruce St
Philadelphia, PA 19102
Phone (215) 790-3290
1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687
6100 Arlington Blvd
Falls Church, VA 22044
Phone (703) 237-8118
19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Nurse Practitioner
- Leawood, KS
- NPI 1629005558
-
- Family Nurse Practitioner
- Hilliard, OH
- NPI 1699747303
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
Nurse Practitioner
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1679048284
Nurse Practitioner
-
- Internal Medicine Physician
- Temple Terrace, FL
- NPI 1710315775
Nurse Practitioner
-
- Family Nurse Practitioner
- Bryn Mawr, PA
- NPI 1881738037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1417493867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24250 ROYAL FERN DR",
"city": "LUTZ",
"state": "FL",
"postal_code": "335597333",
"telephone_number": "727-831-9733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12280 LAKE UNDERHILL RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328255009",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [
{
"address_1": "2797 Nc 55 Hwy",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275196206",
"country_code": "US",
"telephone_number": "866-389-2727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7955 Tuckerman Ln",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208543243",
"country_code": "US",
"telephone_number": "866-389-2727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4961 Roberts Rd",
"address_purpose": "LOCATION",
"city": "Hilliard",
"state": "OH",
"postal_code": "430268129",
"country_code": "US",
"telephone_number": "866-389-2727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6100 Arlington Blvd",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220442901",
"country_code": "US",
"telephone_number": "866-389-2727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARKE",
"first_name": "RYAN",
"middle_name": "K",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-10",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "AC005872",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5019547",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0034186",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "24189194",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9257891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.