RYAN RISH
NPI 1417721457
Social Worker - Clinical in Jacksonville, FL

Q: What is Ryan Rish's NPI number?

The NPI number for Ryan Rish is 1417721457. It was assigned to this individual provider in the NPPES registry on November 9, 2023.

Q: What is Ryan Rish's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Rish was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since November 09, 2023PECOS EnrolledAccepts Medicare Assignment

836 PRUDENTIAL DR STE 1507, JACKSONVILLE, FL 32207(904) 376-3800 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 9, 2026, Oct 7, 2025, Nov 25, 2023 and 1 more (4 updates tracked since 2023).

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About Ryan Rish NPPES

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

RYAN RISH (NPI 1417721457) is an individual clinical provider in Jacksonville, Florida, licensed in Florida (SW25444) and active in the NPI registry since November 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1417721457

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameRYAN RISH

Location Address836 PRUDENTIAL DR STE 1507Jacksonville, FL 32207-8342

Mailing AddressPo Box 748519Atlanta, GA 30374-8519 · (904) 376-3800

Phone(904) 376-3800

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 9, 2023

Last NPPES UpdateApril 9, 20264 updates tracked since enumeration

NPPES CertifiedApril 9, 2026

✔ NPI 1417721457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in FL · SW25444

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

836 PRUDENTIAL DR STE 1507, Jacksonville, FL 32207

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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

Ryan Rish 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 ID941781538

PECOS Enrollment IDI20260222000091

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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

$0.00 typical visit price

range $56.00 – $171.84

Typical copayment $0.00 (range $14.00 – $42.96)

Most-billed visit code NA

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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 11

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

MRS. CHRISTINE NICOLE CREWS ARNP

Nurse Practitioner (Psychiatric/Mental Health)