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

Ryan M Wilson, PA

Individual provider Physician Assistant · NPI 1306811567

Ryan M Wilson, PA is a Physician Assistant in Melbourne, Florida. Qualified in 2002, 24 years ago. Practices with Health First Medical Group, LLC, a 688-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
24
Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1350 Hickory St
Melbourne, FL 32901-3224
Phone: (321) 434-1401
Fax: (321) 434-1667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1350 Hickory St Ste 101, Melbourne, FL 32901-3224 — (321) 434-1401

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence P9102044 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9102044 (FL)

Record details

NPI number1306811567
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 21, 2006
Last updated in NPPESDecember 1, 2023
Certification dateDecember 1, 2023
Mailing address3300 S Fiske Blvd, Rockledge, FL 32955-4306

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Health First Medical Group, Llc — 688 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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