RYAN H EALUM AGACNP-BC
NPI 1174102560
Nurse Practitioner - Acute Care in Pensacola, FL
About Ryan H Ealum Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYAN H EALUM AGACNP-BC (NPI 1174102560) is an individual acute care provider in Pensacola, Florida, licensed in Florida (11021947) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ryan H Ealum Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Ryan Ealum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pensacola, FL 32503
- Reassigned Medicare billing, Florida enrollment
- 36 clinicians in this Medicare group
Pensacola, FL 32503
- Reassigned Medicare billing, Florida enrollment
- 150 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PENSACOLA, FL 32504
PENSACOLA, FL 32504
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ryan Ealum's NPI number?
The NPI number for Ryan Ealum is 1174102560. It was assigned to this individual provider in the NPPES registry on April 5, 2021.
Where is Ryan Ealum located?
Ryan Ealum practices at 5151 N 9th Ave, Pensacola, FL 32504. The listed phone number is (850) 333-3277.
What is Ryan Ealum's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Ryan Ealum enrolled in Medicare?
Yes. Ryan Ealum is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ryan Ealum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Ealum reassigns Medicare benefits to 2 organizations: Pensacola Lung Group, M.D.'s, P.A. (Pensacola, FL) and Pensacola Hospitalist Physicians, LLC (Pensacola, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Ealum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ryan Ealum was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ryan H Ealum, AGACNP-BC · NPI 1174102560
Acute Care physician in Pensacola, Florida. Individual provider, active in the CMS NPPES registry since April 5, 2021.
## Identity
- **NPI:** 1174102560 (Entity type: Individual)
- **Enumerated:** April 5, 2021
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 11021947 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 5151 N 9TH AVE, Pensacola, FL 32504-8721
- **Phone:** (850) 333-3277
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Pensacola Lung Group, M.D.'s, P.A. (NPI 1619196151, Pensacola, FL); Pensacola Hospitalist Physicians, LLC (NPI 1487254140, Pensacola, FL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 27, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1174102560) · Data from the CMS NPPES public registry.