Individual provider Active NPI

Ryan Nicole Cleves, PA-C

  • Physician Assistant
  • Edgewood, KY
National Provider Identifier
1326851635
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone
(859) 578-5855
NPI assigned
Jan 30, 2025
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

1 Medical Village Dr
Edgewood, KY 41017-3403

Mailing address

PO Box 932163
Cleveland, OH 44193-0008
Phone (609) 439-4316

Other practice location 1

600 Delta Ave Apt 10
Cincinnati, OH 45226-1972
Phone (859) 609-6941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH, IN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250715000316 KY Practitioner - Physician Assistant 9234644683 Reassigns benefits to 1 organization
I20250715003445 OH Practitioner - Physician Assistant 9234644683 Reassigns benefits to 1 organization
I20251027001744 IN Practitioner - Physician Assistant 9234644683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Northern Kentucky PLLCGroup PAC ID 3779480736, 56 clinicians

Practice addresses (Care Compare)

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-2160

1640 Flossie Dr
Greendale, IN 47025-8424
Phone (812) 496-3285

2 Emery LN
Cincinnati, OH 45227-4417
Phone (859) 331-4369

238 Barnes Rd
Williamstown, KY 41097-9482
Phone (859) 824-8110

452 Ashsteade LN
Cincinnati, OH 45255-3710
Phone (513) 706-8401

4900 Houston Rd
Florence, KY 41042-4824
Phone (859) 212-5420

600 Medical Village Dr
Edgewood, KY 41017-3416
Phone 8772357686987

600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Phone (800) 676-5572

655 Eden Park Dr
Apt 518
Cincinnati, OH 45202-6065
Phone (859) 331-4369

85 N Grand Ave
Fort Thomas, KY 41075-1793
Phone (859) 572-3140

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Elizabeth Medical Center, Inc Past Accepting new patients
B&D Radiology Partners PLLC PastSince Sep 1, 2017 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1326851635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932163",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930008",
            "telephone_number": "609-439-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL VILLAGE DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173403",
            "telephone_number": "859-578-5855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Delta Ave Apt 10",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452261972",
            "country_code": "US",
            "telephone_number": "859-609-6941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEVES",
        "first_name": "RYAN",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

Verify at the official NPI Registry.