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DR. RYAN NICKENS D.C.
NPI 1386069417
Chiropractor in Fort Myers, FL

Active since February 26, 2014Accepts Medicare Assignment
11621 S CLEVELAND AVE, UNIT 80, FORT MYERS, FL 33907(321) 615-7998 Get Directions Write a Review

NPPES record last updated: March 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ryan Nickens D.c. NPPES

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

DR. RYAN NICKENS D.C. (NPI 1386069417) is an individual chiropractor in Fort Myers, Florida, licensed in Florida (CH10966) and active in the NPI registry since February 2014. He is a graduate of Palmer College Chiropractic - Davenport (2013).

NPPES Registry Identity

NPI1386069417
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. RYAN NICKENSCredential: D.C.
Location Address11621 S CLEVELAND AVE, UNIT 80Fort Myers, FL 33907-2866
Mailing Address11621 S Cleveland Ave, Unit 80Fort Myers, FL 33907-2866 · (239) 690-7794
Phone(321) 615-7998
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2013
Enumeration DateFebruary 26, 2014
Last NPPES UpdateMarch 14, 2016
✔ NPI 1386069417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH10966
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
11621 S CLEVELAND AVE, Fort Myers, FL 33907
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Other Identifiers 1

Medicare PINHU218YFL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ryan Nickens D.c. 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 ID5799909487
PECOS Enrollment IDI20241029003460

Other Providers at the Same Location NPPES 2

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

CITY OF PALMS CHIROPRACTIC LLC
Chiropractor
11621 S CLEVELAND AVE, UNIT 80
FORT MYERS, FL 33907
Lee County (239) 690-7794
JOHNER THERAPY INC
Clinic/Center
11621 S CLEVELAND AVE
FORT MYERS, FL 33907
Lee County (239) 533-9903

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 Nickens's NPI number?

The NPI number for Ryan Nickens is 1386069417. It was assigned to this individual provider in the NPPES registry on February 26, 2014.

Where is Ryan Nickens located?

Ryan Nickens practices at 11621 S Cleveland Ave Unit 80, Fort Myers, FL 33907. The listed phone number is (321) 615-7998.

What is Ryan Nickens's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Ryan Nickens enrolled in Medicare?

Yes. Ryan Nickens 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.

When was this NPI record last updated?

The NPPES record for Ryan Nickens was last updated on March 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.