Individual provider Active NPI

Ryan Thomas Hebda, PA-C

  • Surgical Physician Assistant
  • Naples, FL
National Provider Identifier
1417598970
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA9112651 Issued in FL
Practice address
1250 Pine Ridge Rd Ste 201
Naples, FL 34108-8913
Phone
(239) 325-1135
Fax
(239) 263-3957
NPI assigned
Oct 4, 2019
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA9112651 FL Primary

Addresses

Primary practice location

1250 Pine Ridge Rd Ste 201
Naples, FL 34108-8913

Mailing address

3451 Pine Ridge Rd BLDG 601
Naples, FL 34109-3922
Phone (239) 449-3072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20191127001657 FL Practitioner - Physician Assistant 5092148338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moorings IncorporatedGroup PAC ID 4688832066, shared by 2 NPIs, 116 clinicians

Practice addresses (Care Compare)

120 Moorings Park Dr
Naples, FL 34105-2122

1250 Pine Ridge Rd
Naples, FL 34108-8913

130 Moorings Park Dr
Naples, FL 34105-2122

6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone (239) 566-3434

7273 Vanderbilt Beach Rd
Suite 33
Naples, FL 34119-1479
Phone (239) 312-7878

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9112651FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience and Spine Associates PL CurrentSince Oct 14, 2019 Accepting new patients
Neuroscience and Spine Associates PL CurrentSince Oct 14, 2019 Accepting new patients
Neuroscience and Spine Associates Current Accepting new patients
Neuroscience and Spine Associates PL Physician Assistant Past Accepting new patients

Locations

1250 Pine Ridge Rd
Ste 201
Naples, FL 34108
Phone (239) 325-1135

1250 Pine Ridge Rd
Ste 202
Naples, FL 34108
Phone (239) 325-1135

1660 Medical Blvd
Ste 200
Naples, FL 34110
Phone (239) 566-3434

3451 Pine Ridge Rd
Bldg 601
Naples, FL 34109
Phone (239) 449-3072

3451 Pine Ridge Rd
Ste 601
Naples, FL 34109

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

877 111th Ave N
Ste 1
Naples, FL 34108
Phone (239) 594-8002

Interoperability endpoints

  • Direct secure messaging: ryanhebda@nsapl.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1417598970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 PINE RIDGE RD BLDG 601",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093922",
            "telephone_number": "239-449-3072",
            "fax_number": "877-334-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PINE RIDGE RD STE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341088913",
            "telephone_number": "239-325-1135",
            "fax_number": "239-263-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBDA",
        "first_name": "RYAN",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-04",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9112651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.