NPIMap

Individual provider Active NPI

Ryan C Caspoli, PA-C

  • Medical Physician Assistant
  • Jacksonville, FL
National Provider Identifier
1639849490
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
3000 Dunn Ave Ste 1C
Jacksonville, FL 32218-4501
Phone
(904) 757-1998
Fax
(833) 941-1583
NPI assigned
Sep 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X FL Primary

Addresses

Primary practice location

3000 Dunn Ave Ste 1C
Jacksonville, FL 32218-4501

Mailing address

425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (833) 702-8383

Other practice location 1

1215 Dunn Ave
Jacksonville, FL 32218-6330
Phone (904) 757-1998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230207002236 FL Practitioner - Physician Assistant 5395124150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Barry University School of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Partners of Northeast Florida LLCGroup PAC ID 7214832245, 15 clinicians

Practice addresses (Care Compare)

1215 Dunn Ave
Jacksonville, FL 32218-6330
Phone (904) 757-1998

3000 Dunn Ave
Suite 1C
Jacksonville, FL 32218-4501
Phone (904) 757-1998

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
028329NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Partners of Northeast Florida LLC Past Accepting new patients
Family Care Partners of Northeast Florida LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27472/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ryan.caspoli.1@27472.direct.athenahealth.com

Organizations & group practices 3

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 6

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": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1639849490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "833-702-8383",
            "fax_number": "689-304-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 DUNN AVE STE 1C",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184501",
            "telephone_number": "904-757-1998",
            "fax_number": "833-941-1583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Dunn Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322186330",
            "country_code": "US",
            "telephone_number": "904-757-1998",
            "fax_number": "833-941-1583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASPOLI",
        "first_name": "RYAN",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.