Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jill A Ryan, NP

Individual provider Family Nurse Practitioner · NPI 1871722587

Jill A Ryan, NP is a Nurse Practitioner in Massapequa, New York. Qualified in 1999, 27 years ago. Practices with Charles Evans Center, Inc, an 18-clinician group and offers telehealth. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

727 N Broadway Ste A1
Massapequa, NY 11758-2348
Phone: (516) 695-0389
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F401797 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F302707 (NY)

Record details

NPI number1871722587
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJuly 2, 2009
Last updated in NPPESOctober 7, 2024
Certification dateOctober 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Charles Evans Center, Inc. — 18 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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