Active NPI
Cleveland Abbe Rickards, P.A.
- Physician Assistant
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9112293
- Practice address
- 1820 58TH Ave Ste 110
Vero Beach, FL 32966-4675 - Phone
- (772) 257-3200
- Fax
- (772) 257-0187
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 55-0030638 | VT | |
| Physician Assistant | 363A00000X | PA9112293 | FL | Primary |
Addresses
Primary practice location
1820 58TH Ave Ste 110
Vero Beach, FL 32966-4675
Mailing address
1820 58TH Ave Ste 110
Vero Beach, FL 32966-4675
Phone (772) 257-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000156 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 Minton Rd
West Melbourne, FL 32904-6602
Phone (321) 633-3278
490 Ctr Lake Dr NE
Suite 200
Palm Bay, FL 32907-1113
Phone (321) 751-7222
5005 Port St John Pkwy
Port St John, FL 32927-4305
Phone (321) 757-7222
820 Palm Bay Rd NE
Suite 110
Palm Bay, FL 32905-6351
Phone (321) 633-3278
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55-0030638 | VT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medfast Urgent Care Centers LLC | Current | Accepting new patients | |
| Medfast Urgent Care Centers, LLC | Current | Accepting new patients | |
| Medfast Urgent Care Centers, LLC | Current | Accepting new patients | |
| Dwic of Tampa Bay, Inc. | Current | Accepting new patients | |
| Dwic of Tampa Bay, Inc | Current | Accepting new patients | |
| Medexpress Urgent Care of Boynton Beach, LLC | Current | Accepting new patients | |
| Porter Hospital Inc | Past | Accepting new patients | |
| Clearchoicemd Primary Care PLLC | Past | Accepting new patients | |
| Belle Glade Emergency Physicians LLC | Past | Accepting new patients |
Locations
7593 Boynton Beach Blvd
Ste 190
Boynton Beach, FL 33437
Phone (561) 572-3200
8849 State Road 52
Hudson, FL 34667
Phone (727) 863-7150
1120 Homestead Rd N
Lehigh Acres, FL 33936
Phone (239) 303-5020
5005 Port St John Pkwy
Port St John, FL 32927
Phone (321) 504-0556
2810 W Mlk Blvd
Tampa, FL 33607
Phone (813) 289-6637
Networks
- Freedom Health HMO Network
Organizations & group practices 18
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Melbourne, FL
- NPI 1285735605
-
- Urgent Care Clinic/Center
- Boynton Beach, FL
- NPI 1366544728
-
- Urgent Care Clinic/Center
- Orlando, FL
- NPI 1306367503
-
- Urgent Care Clinic/Center
- Clearwater, FL
- NPI 1780633834
-
- Emergency Medicine Physician
- Vero Beach, FL
- NPI 1760996300
-
- Urgent Care Clinic/Center
- Vero Beach, FL
- NPI 1689812109
-
- Urgent Care Clinic/Center
- Winter Springs, FL
- NPI 1205389905
-
- Urgent Care Clinic/Center
- Gainesville, FL
- NPI 1558595223
-
- Urgent Care Clinic/Center
- Ponte Vedra, FL
- NPI 1407893100
-
- Urgent Care Clinic/Center
- Coral Springs, FL
- NPI 1851344378
-
- Urgent Care Clinic/Center
- Boynton Beach, FL
- NPI 1003172628
-
- Urgent Care Clinic/Center
- Hudson, FL
- NPI 1598132490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1831118595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 58TH AVE STE 110",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329664675",
"telephone_number": "772-257-3200",
"fax_number": "772-257-0187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 58TH AVE STE 110",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329664675",
"telephone_number": "772-257-3200",
"fax_number": "772-257-0187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKARDS",
"first_name": "CLEVELAND",
"middle_name": "ABBE",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VT",
"license": "55-0030638",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9112293",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000156",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.