Individual provider Active NPI

Ryan C Myers, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Panama City, FL
National Provider Identifier
1942700182
Registry record updated Feb 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9468746 Issued in FL
Practice address
525 E 15TH St
Panama City, FL 32405-5412
Phone
(850) 522-4485
NPI assigned
Feb 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9468746 FL Primary

Addresses

Primary practice location

525 E 15TH St
Panama City, FL 32405-5412

Mailing address

15100 Front Beach Rd Unit 727
Panama City Beach, FL 32413-4513
Phone (865) 246-8508

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
I20180604002278 FL Practitioner - Nurse Practitioner 4880959352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adult and Child Counseling and Psychiatric Center, P.aGroup PAC ID 0042403610, 13 clinicians

Practice addresses (Care Compare)

5545 N Wickham Rd
Suite 110
Melbourne, FL 32940-7323
Phone (321) 779-9838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9468746FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adult & Child Counseling and Psychiatric Center, P.a. CurrentSince Dec 1, 2024 Accepting new patients
Atlantic Psychiatric Centers, Inc. Psychiatric/Mental Health CurrentSince Feb 1, 2019 Accepting new patients
Tranquility Mental Health PA Current Accepting new patients
Compass Health, Inc Past Accepting new patients

Locations

5545 N Wickham Rd
Ste 110
Melbourne, FL 32940
Phone (321) 452-5633

2123 Franklin Dr NE
Palm Bay, FL 32905
Phone (321) 724-1614

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1942700182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15100 FRONT BEACH RD UNIT 727",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324134513",
            "telephone_number": "865-246-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 15TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324055412",
            "telephone_number": "850-522-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "RYAN",
        "middle_name": "C",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9468746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.