RYAN HILLMAN REYNOLDS NP
NPI 1245718295
Nurse Practitioner in Live Oak, FL

Active since August 01, 2018PECOS EnrolledAccepts Medicare Assignment
1100 11TH ST SW, LIVE OAK, FL 32064(386) 362-0800 Get Directions Write a Review

NPPES record last updated: August 1, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ryan Hillman Reynolds Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN HILLMAN REYNOLDS NP (NPI 1245718295) is an individual nurse practitioner in Live Oak, Florida, licensed in Florida (ARNP9385174) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, is affiliated with Sgmc Health, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1245718295
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameRYAN HILLMAN REYNOLDSCredential: NP
Location Address1100 11TH ST SWLive Oak, FL 32064-3608
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 1, 2018
✔ NPI 1245718295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · ARNP9385174
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1100 11TH ST SW, Live Oak, FL 32064

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ryan Hillman Reynolds Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860744638
PECOS Enrollment IDI20181004002501, I20250509002721, I20260120002633
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

9

Medicare enrollment records show Ryan Reynolds reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1100 11TH ST SW
Live Oak, FL 32064
  • Reassigned Medicare billing, Florida enrollment
  • 210 clinicians in this Medicare group
Urgent Care
2786 W US HIGHWAY 90 STE 105
Lake City, FL 32055
  • Reassigned Medicare billing, Florida enrollment
  • 15 clinicians in this Medicare group
Multi-Specialty
2501 N PATTERSON ST
Valdosta, GA 31602
  • Reassigned Medicare billing, Georgia enrollment
  • 61 clinicians in this Medicare group
Critical Access
850 E MAIN ST
Lake Butler, FL 32054
  • Reassigned Medicare billing, Florida enrollment
  • 37 clinicians in this Medicare group
Emergency Medicine
915 GORDON AVE
Thomasville, GA 31792
  • Reassigned Medicare billing, Georgia enrollment
  • 147 clinicians in this Medicare group
Occupational Medicine
10503 SAN JOSE BLVD
Jacksonville, FL 32257
  • Reassigned Medicare billing, Florida enrollment
  • 78 clinicians in this Medicare group
Emergency Medicine
200 AVENUE F NE
Winter Haven, FL 33881
  • Reassigned Medicare billing, Florida enrollment
  • 1,065 clinicians in this Medicare group
Family Medicine
318 MAIN ST
Ireton, IA 51027
  • Reassigned Medicare billing, Iowa enrollment
  • 40 clinicians in this Medicare group
Family Medicine
1305 HIGHWAY 6/34
Cambridge, NE 69022
  • Reassigned Medicare billing, Nebraska enrollment
  • Also billed through NPI 1548333214 (Nebraska)
  • 29 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
53 services49 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
49 services48 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sgmc Health

Acute Care Hospitals · Valdosta, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110122
Location2501 North Patterson Street, PO Box 1727Valdosta, GA 31602 · Lowndes County
Emergency services Birthing friendly

Hawarden Regional Healthcare

Critical Access Hospitals · Hawarden, IA
OwnershipGovernment - Local
CMS Certification Number161311
Location1111 11th StreetHawarden, IA 51023 · Sioux County
Emergency services

Tri Valley Health System

Critical Access Hospitals · Cambridge, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281348
Location1305 West Highway 6/34Cambridge, NE 69022 · Furnas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32064 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
1100 11TH ST SW
LIVE OAK, FL 32064
Pharmacist
1100 11TH ST SW
LIVE OAK, FL 32064
Emergency Medicine
1100 11TH ST SW
LIVE OAK, FL 32064
Nurse Practitioner (Family)
1100 11TH ST SW
LIVE OAK, FL 32064
Emergency Medicine
1100 11TH ST SW
LIVE OAK, FL 32064
Emergency Medicine
1100 11TH ST SW
LIVE OAK, FL 32064
General Acute Care Hospital (Critical Access)
1100 11TH ST SW
LIVE OAK, FL 32064
Pharmacist
1100 11TH ST SW
LIVE OAK, FL 32064

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 Reynolds's NPI number?

The NPI number for Ryan Reynolds is 1245718295. It was assigned to this individual provider in the NPPES registry on August 1, 2018.

Where is Ryan Reynolds located?

Ryan Reynolds practices at 1100 11th St SW, Live Oak, FL 32064. The listed phone number is (386) 362-0800.

What is Ryan Reynolds's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ryan Reynolds enrolled in Medicare?

Yes. Ryan Reynolds is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ryan Reynolds's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Reynolds reassigns Medicare benefits to 9 organizations: Fl-I Medical Services, LLC (Live Oak, FL), Mercy Medical Urgent Care Center (Lake City, FL), Sgmc Affiliated Services LLC (Valdosta, GA), Medlink Management Services Inc (Lake Butler, FL), South Georgia Emergency Medicine Associates PC (Thomasville, GA) and 4 more organizations, listed in the Medicare section above. 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 Reynolds's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ryan Reynolds accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Ryan Reynolds as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ryan Reynolds affiliated with any hospitals?

According to CMS data, Ryan Reynolds is affiliated with Sgmc Health, Hawarden Regional Healthcare and Tri Valley Health System.

When was this NPI record last updated?

The NPPES record for Ryan Reynolds was last updated on August 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.