Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mr. Ryan Park, NP

Individual provider Nurse Practitioner · NPI 1760738728

Mr. Ryan Park, NP is a Nurse Practitioner in Saint Augustine, Florida. Qualified in 2012, 14 years ago. Practices with Solantic of Jacksonville LLC, a 52-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida and Idaho.

Years since qualifying
14
Licensed in
FL, ID
In the registry since
2012
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.

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Practice location Address checks out

559 W Twincourt Trl Ste 607-608
Saint Augustine, FL 32095-8805
Phone: (904) 230-3006
Fax: (877) 638-8891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1021 Cesery Blvd, Jacksonville, FL 32211-5609 — (904) 743-2466
  • 57 Town Ct Ste 123, Palm Coast, FL 32164-2425 — (904) 230-3006
  • 360 E Montvue Dr. Ste 100, Meridian, ID 83642 — (208) 855-2900

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11030031 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence NP-1200A (ID)

Record details

NPI number1760738728
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedJuly 27, 2012
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Solantic Of Jacksonville Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients127
Services billed 217 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $1,570 79 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Solantic of Jacksonville LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 52 clinicians in the practice; 12 are shown here.

Other providers in Saint Augustine