Individual provider Active NPI

Ryan William Supler, MS, APRN, FNP-C

  • Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1891129177
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
18449 Issued in SC
Practice address
2 Innovation Dr Ste 120
Greenville, SC 29607-5262
Phone
(864) 271-9773
NPI assigned
Aug 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 18449 SC Primary

Addresses

Primary practice location

2 Innovation Dr Ste 120
Greenville, SC 29607-5262

Mailing address

2 Innovation Dr Ste 120
Greenville, SC 29607-5262
Phone (864) 271-9773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20140206001028 SC Practitioner - Nurse Practitioner 8628207065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Francis Physician Services IncGroup PAC ID 6608826821, 106 clinicians

Practice addresses (Care Compare)

1200 Brookfield Blvd
Suite 400B
Greenville, SC 29607-6583
Phone (864) 605-3721

2 Innovation Dr
Suite 120
Greenville, SC 29607-5262
Phone (864) 271-9773

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
18449SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Physician Services Inc CurrentSince Jan 2, 2022 Accepting new patients
St Francis Physician Services Inc Past Accepting new patients

Locations

2 Innovation Dr
Ste 120
Greenville, SC 29607
Phone (864) 271-9773

Interoperability endpoints

  • Direct secure messaging: rsupler1156186@direct.bsmhealth.org

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": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1891129177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 INNOVATION DR STE 120",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075262",
            "telephone_number": "864-271-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INNOVATION DR STE 120",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075262",
            "telephone_number": "864-271-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPLER",
        "first_name": "RYAN",
        "middle_name": "WILLIAM",
        "credential": "MS, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-22",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "18449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.