Individual provider Active NPI

Cleveland Abbe Rickards, P.A.

  • Physician Assistant
  • Vero Beach, FL
National Provider Identifier
1831118595
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9112293 Issued in FL
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

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9000156MedicaidVT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190829003295 FL Practitioner - Physician Assistant 2062584857 Reassigns benefits to 11 organizations

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
Medfast Urgent Care Centers LLCGroup PAC ID 1052418837, 73 clinicians

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

LicenseStateTypeSpecialty
55-0030638VTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medfast Urgent Care Centers LLC Current Accepting new patients
Medfast Urgent Care Centers, LLC CurrentSince Oct 1, 2025 Accepting new patients
Medfast Urgent Care Centers, LLC CurrentSince Oct 1, 2025 Accepting new patients
Dwic of Tampa Bay, Inc. CurrentSince Aug 25, 2021 Accepting new patients
Dwic of Tampa Bay, Inc CurrentSince Aug 25, 2021 Accepting new patients
Medexpress Urgent Care of Boynton Beach, LLC CurrentSince Aug 25, 2021 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.

View all 18

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

Verify at the official NPI Registry.