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

Mr. Ryan Harris, FNP-C

Individual provider Registered Nurse · NPI 1285228213

Mr. Ryan Harris, FNP-C is a Nurse Practitioner in Fenton, Missouri. Qualified in 2019, 7 years ago. Practices with Pain Management Medical Center, LLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois, Missouri and Washington.

Years since qualifying
7
Licensed in
IL, MO, WA
In the registry since
2021
Specialties on file
5
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1055 Bowles Ave Ste 202
Fenton, MO 63026-2308
Phone: (636) 326-7821
Fax: (636) 326-7897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1031 Bellevue Ave Ste 310, Saint Louis, MO 63117-1857 — (314) 768-8491

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2020018086 (MO)
Registered Nurse Taxonomy 163W00000X · Licence RN60944314 (WA)
Registered Nurse Taxonomy 163W00000X · Licence 041500644 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 2013025076 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209022160 (IL)

Record details

NPI number1285228213
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 20, 2021
Last updated in NPPESJuly 19, 2021
Certification dateJuly 19, 2021
Mailing address1055 Bowles Ave Ste 202, Fenton, MO 63026-2308

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Pain Management Medical Center, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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