Individual provider Active NPI

Ryan Derek Forrest

  • Family Nurse Practitioner
  • Branson, MO
National Provider Identifier
1932077237
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2025086361 Issued in MO
Practice address
3200 Gretna Rd Unit 110
Branson, MO 65616-7461
Phone
(417) 324-7672
NPI assigned
Oct 28, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2025086361 MO Primary

Addresses

Primary practice location

3200 Gretna Rd Unit 110
Branson, MO 65616-7461

Mailing address

3200 Gretna Rd Unit 110
Branson, MO 65616-7461

Other practice location 1

525 Branson Landing Blvd
Branson, MO 65616-2052
Phone (000) 000-0000

Other practice location 2

1000 E Hwy 60
Monett, MO 65708-8258
Phone (000) 000-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20260317002347 MO Practitioner - Nurse Practitioner 2860975950 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Springfield CommunitiesGroup PAC ID 7416865845, shared by 26 NPIs, 1,121 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Lebanon, MO 65536-9210
Phone (417) 553-6059

1235 E Cherokee St
Springfield, MO 65804-2203
Phone (417) 820-2600

Hospital & facility affiliations

  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025086361MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Table Rock Family Care Clinic, LLC CurrentSince Feb 1, 2026 Accepting new patients
Tablerock Health LLC CurrentSince Nov 8, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Mar 6, 2026 Accepting new patients
Mercy Clinic Springfield Communities Family CurrentSince Mar 6, 2026 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Mar 6, 2026 Accepting new patients

Locations

3200 Gretna Rd
Unit 110
Branson, MO 65616
Phone (417) 317-1908

800 Highway 248
Ste F
Branson, MO 65616
Phone (417) 324-7672

100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

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.

Hospital & facility affiliations 9

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": "1761609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1932077237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 GRETNA RD UNIT 110",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 GRETNA RD UNIT 110",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167461",
            "telephone_number": "417-324-7672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Branson Landing Blvd",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656162052",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 E Hwy 60",
            "address_purpose": "LOCATION",
            "city": "Monett",
            "state": "MO",
            "postal_code": "657088258",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORREST",
        "first_name": "RYAN",
        "middle_name": "DEREK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-28",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2025086361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

Verify at the official NPI Registry.