Individual provider Active NPI

Ryan K Clarke, APRN

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1417493867
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9257891 Issued in FL
Practice address
12280 Lake Underhill Rd
Orlando, FL 32825-5009
Phone
(866) 389-2727
NPI assigned
Jan 10, 2017
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, KS7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20171013001566 FL Practitioner - Nurse Practitioner 8921373168 Reassigns benefits to 4 organizations
I20231031002736 DC Practitioner - Nurse Practitioner 8921373168 Reassigns benefits to 1 organization
I20231108001814 OH Practitioner - Nurse Practitioner 8921373168 Reassigns benefits to 1 organization
I20240319001627 VA Practitioner - Nurse Practitioner 8921373168 Reassigns benefits to 1 organization
I20240321002347 NC Practitioner - Nurse Practitioner 8921373168
I20250331000718 PA Practitioner - Nurse Practitioner 8921373168 Reassigns benefits to 2 organizations
I20250401003078 KS Practitioner - Nurse Practitioner 8921373168 Reassigns benefits to 1 organization

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
Minuteclinic Diagnostic of Kansas PAGroup PAC ID 7416043807, 139 clinicians
Minuteclinic Video Virtual Care, PLLCGroup PAC ID 0143650416, 36 clinicians
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians
Minuteclinic Diagnostic of Virginia LLCGroup PAC ID 6709960891, 142 clinicians
Minuteclinic Diagnostic of Ohio LLCGroup PAC ID 2961425608, 192 clinicians

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

LicenseStateTypeSpecialty
APRN9257891FLMDFamily Nurse Practitioner
24189194VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc Nurse Practitioner CurrentSince Jun 28, 2017 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince Mar 18, 2025 Accepting new patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Feb 6, 2024 Accepting new patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince Mar 18, 2025 Accepting new patients
Hni Medical Services of Florida, LLC Nurse Practitioner CurrentSince Dec 30, 2019 Accepting new patients
Minuteclinic Diagnostic of Ohio LLC Family CurrentSince Sep 10, 2023 Accepting new patients
Pioneer Medical Group, PL Nurse Practitioner CurrentSince Jun 28, 2017 Accepting new patients
Minuteclinic Diagnostic of Pennsylvania LLC Family CurrentSince Mar 18, 2025 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.

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

Verify at the official NPI Registry.