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

Ryan Andrew Stack, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1013634419

Ryan Andrew Stack, AGACNP-BC is a Nurse Practitioner in Mobile, Alabama. Qualified in 2024, 2 years ago. Practices with Alabama Medical Group PC, a 42-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
2
Licensed in
AL
In the registry since
2022
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

101 Memorial Hospital Dr Ste 200
Mobile, AL 36608-1787
Phone: (251) 414-5900
Fax: (251) 459-8964
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1-181242 (AL)

Record details

NPI number1013634419
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorYes
NPI enumeratedOctober 26, 2022
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address101 Memorial Hospital Dr Ste 200, Mobile, AL 36608-1787

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Alabama Medical Group Pc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mobile