CODY CLEVELAND – Acute Care Nurse Practitioner, NPI 1801643416

CODY CLEVELAND is a healthcare provider. based in Northampton, Massachusetts. specializing in NURSE PRACTITIONER. They hold a License No. RN2343882 (MA). The NPI Number for CODY CLEVELAND is 1801643416

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
CODY CLEVELAND
NPI
1801643416
Phone
(413) 387-9727
Address
20 RIVERBANK RD
Enumeration Date
1 May 2024
Last Update Date
21 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4136932852
Graduation Year
2024 (2 years ago)
PAC ID
8123553286
Group Practice PAC ID
1153602990
Professional Enrollment ID
I20241126002078
Address ID
MA010891302WE86XXXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for CODY CLEVELAND

  • 20 RIVERBANK RD

    NORTHAMPTON, MA 010602506

    Phone: (413) 387-9727

    Type: Mailing

  • 86 ASHLEY AVE

    WEST SPRINGFIELD, MA 010891302

    Phone: (413) 693-2852

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $3,561.

Total Amount is formed as General ($3,561) + Research ($0) + Ownership ($0) = $3,561.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AngioDynamics, Inc. ($3,208).

Total Amount

$3,561

General + Research + Ownership

Payments

23

Total payment records

General Amount

$3,561

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241126002078INurse PractitionerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153602990View full group profile
NameSpecialtyState
Nurse PractitionerMA
Diagnostic Radiology, Interventional RadiologyNY
Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology, Interventional RadiologyMA

Reviews

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Frequently asked questions

What federal number belongs to CODY CLEVELAND?
The federal identifier for CODY CLEVELAND is NPI 1801643416.
Does this profile mean CODY CLEVELAND is currently active?
Yes — CODY CLEVELAND appears active in the national provider directory.
What field does CODY CLEVELAND work in?
You can think of CODY CLEVELAND as practicing within Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for CODY CLEVELAND?
The page summarizes Northampton, Massachusetts for CODY CLEVELAND; expand the address list for detail.
What if Northampton, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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