Individual provider Active NPI

Sean Michael Ryan, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Pensacola, FL
National Provider Identifier
1851774830
Registry record updated Apr 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9112482 Issued in FL
Practice address
545 Brent LN # 56
Pensacola, FL 32503-2003
Phone
(850) 318-3095
Fax
(850) 278-5089
NPI assigned
Jul 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9112482 FL Primary

Addresses

Primary practice location

545 Brent LN # 56
Pensacola, FL 32503-2003

Mailing address

545 Brent LN # 56
Pensacola, FL 32503-2003
Phone (850) 318-3095

Other practice location 1

1221 W Lakeview Ave
Pensacola, FL 32501-1836
Phone (850) 469-3500

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
I20200324003079 FL Practitioner - Physician Assistant 0547698649 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lakeview Center IncGroup PAC ID 3375439904, 43 clinicians

Practice addresses (Care Compare)

1221 W Lakeview Ave
Pensacola, FL 32501-1857
Phone (850) 908-3907

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9112482FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Psychiatry LLC CurrentSince Jul 17, 2022 Accepting new patients
Escambia Community Clinics Inc CurrentSince Feb 12, 2024 Accepting new patients
Redeemed Mental Health and Recovery, PLLC Current Accepting new patients
Escambia Community Clinics, Inc CurrentSince Feb 12, 2024 Accepting new patients
Ep Facility LLC CurrentSince Feb 25, 2024 Accepting new patients

Locations

3250 Mary St
Ste 300
Miami, FL 33133
Phone (305) 900-6878

5520 Stewart St
Milton, FL 32570
Phone (850) 891-9433

1400 N Palafox St
Pensacola, FL 32501
Phone (850) 444-9449

2315 W Jackson St
Pensacola, FL 32505
Phone (850) 495-3955

1221 W Lakeview Ave
Ofc
Pensacola, FL 32501

1221 W Lakeview Ave
Pensacola, FL 32501
Phone (850) 469-3500

545 Brent Ln
Pensacola, FL 32503
Phone (850) 477-5110

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18528/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775260800000",
    "number": "1851774830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 BRENT LN # 56",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032003",
            "telephone_number": "850-318-3095",
            "fax_number": "850-278-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 BRENT LN # 56",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032003",
            "telephone_number": "850-318-3095",
            "fax_number": "850-278-5089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 W Lakeview Ave",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325011836",
            "country_code": "US",
            "telephone_number": "850-469-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "SEAN",
        "middle_name": "MICHAEL",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2026-04-04",
        "certification_date": "2026-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9112482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.