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

Ryan Parker, NP-C

Individual provider Family Nurse Practitioner · NPI 1912478231

Ryan Parker, NP-C is a Nurse Practitioner in Maryville, Illinois. Qualified in 2016, 10 years ago. Practices with Anderson Medical Group LLC, a 139-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2018
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

6812 State Route 162 Ste 202
Maryville, IL 62062-8562
Phone: (618) 288-6844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209.018533 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209.018533 (IL)

Record details

NPI number1912478231
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedDecember 14, 2018
Last updated in NPPESJune 11, 2019
Mailing address6812 State Route 162 Ste 202, Maryville, IL 62062-8562

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Anderson Medical Group Llc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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