KENNETH C RYAN (APRN) – Nurse Practitioner, NPI 1053747493
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KENNETH C RYAN (APRN)
1370 13TH AVE S STE 215
JACKSONVILLE BEACH, FL 322503206
Phone: (904) 249-1041
Fax: (904) 249-9764
Type: Location
PO BOX 41113
JACKSONVILLE, FL 322031113
Phone: (904) 376-4400
Fax: (904) 391-5595
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 401 Open Payments records for all available years, with a total value of $8,615.
Total Amount is formed as General ($8,615) + Research ($0) + Ownership ($0) = $8,615.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,487).
Total Amount
$8,615
General + Research + Ownership
Payments
401
Total payment records
General Amount
$8,615
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,487 |
| Lundbeck LLC | $733 |
| Otsuka America Pharmaceutical, Inc. | $385 |
| EMD Serono, Inc. | $370 |
| Lilly USA, LLC | $261 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-12-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171221000952 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32250)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | FL | |
| N E U R O L O G Y | GA | |
| Nurse Practitioner | GA | |
| - | FL | |
| Nurse Practitioner | GA | |
| Neurology, Epileptologists | GA | |
| Neurology, Ophthalmology | FL | |
| N E U R O L O G Y | FL | |
| Nurse Practitioner | FL | |
| N E U R O L O G Y | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.