Mr Ryan Park, NP - Medicare Nurse Practitioner in Saint Augustine, FL

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Mr Ryan Park, NP is a medicare enrolled "Nurse Practitioner" in Saint Augustine, Florida. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Solantic Of Jacksonville Llc, Bmh Inc and his current practice location is 559 W Twincourt Trl Ste 607-608, Saint Augustine, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 230-3006.

Mr Ryan Park is licensed to practice in Florida (license number APRN11030031) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760738728.

Contact Information

Mr Ryan Park, NP
559 W Twincourt Trl Ste 607-608,
Saint Augustine, FL 32095-8805
(904) 230-3006
(877) 638-8891

Map and Direction




Provider's Profile

Full NameMr Ryan Park
GenderMale
SpecialityNurse Practitioner
Experience12 Years
Location559 W Twincourt Trl Ste 607-608, Saint Augustine, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Ryan Park graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1760738728
  • Provider Enumeration Date: 07/27/2012
  • Last Update Date: 03/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9436300654
  • Enrollment ID: I20240511000036

Medical Identifiers

Medical identifiers for Mr Ryan Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760738728NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN11030031 (Florida)Primary
363LF0000XNurse Practitioner - Family NP-1200A (Idaho)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lost Rivers Medical CenterArco, IDHospital
Portneuf Medical CenterPocatello, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Solantic Of Jacksonville Llc105240930751
Bmh Inc8426149758124

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Ryan Park allows following entities to bill medicare on his behalf.
Entity NameSolantic/south Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851344378
PECOS PAC ID: 5496762171
Enrollment ID: O20060321000740
Entity NameSolantic Of Jacksonville Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407893100
PECOS PAC ID: 1052409307
Enrollment ID: O20071120000271
Entity NameHma-solantic Joint Venture Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689812109
PECOS PAC ID: 6002955788
Enrollment ID: O20091209000716
Entity NameWest Boynton Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003172628
PECOS PAC ID: 0941456537
Enrollment ID: O20120815000049
Entity NameCarespot Of Orlando Hsi Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306367503
PECOS PAC ID: 8921372558
Enrollment ID: O20170921000186

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Ryan Park is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Ryan Park, NP
559 W Twincourt Trl Ste 607-608,
Saint Augustine, FL 32095-8805

Ph: (904) 230-3006		Mr Ryan Park, NP
559 W Twincourt Trl Ste 607-608,
Saint Augustine, FL 32095-8805

Ph: (904) 230-3006

Reviews and Comments


Nurse Practitioner Nurses in Saint Augustine, FL

Lucie Davis, APRN
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Phone: 904-819-1500    Fax: 904-810-1023
Ms. Katrina Shanell General, APRN
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Eli Billeter,
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Phone: 904-819-5155    
Stephanie Digirolamo, ARNP-BC
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Phone: 904-525-1302    
Dr. Deborah Fisher Terry, DNP, ARNP, ANP-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 2021 Crown Dr, Totalcaring Health Education & Staffing, Inc., Saint Augustine, FL 32092
Phone: 904-347-3031    Fax: 904-940-9924
Mr. Brian Emerson, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Orthopaedic Pl, Saint Augustine, FL 32086
Phone: 904-825-0540    Fax: 904-825-2490

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.