ANDREA CLEVELAND – Nurse Practitioner, NPI 1790433894

ANDREA CLEVELAND is a healthcare provider. based in Lakewood, Ohio. specializing in NURSE PRACTITIONER. They hold a License No. APRN.CNP.0031007 (OH). The NPI Number for ANDREA CLEVELAND is 1790433894

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA CLEVELAND
NPI
1790433894
Phone
(330) 329-4412
Address
1482 PARKWOOD RD
Enumeration Date
17 March 2022
Last Update Date
10 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2166361768
Graduation Year
2022 (4 years ago)
PAC ID
6901293281
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20220505001387
Address ID
OH441950001CL9500XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

14,989 NURSE PRACTITIONER in OH

Provider Addresses for ANDREA CLEVELAND

  • 1482 PARKWOOD RD

    LAKEWOOD, OH 441074718

    Phone: (330) 329-4412

    Type: Mailing

  • 9500 EUCLID AVE

    CLEVELAND, OH 441950001

    Phone: (216) 444-2200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $404.

Total Amount is formed as General ($404) + Research ($0) + Ownership ($0) = $404.

Last reported payment date: 2024-07-31 • Largest payer in this snapshot: SUN PHARMACEUTICAL INDUSTRIES INC. ($131).

Total Amount

$404

General + Research + Ownership

Payments

6

Total payment records

General Amount

$404

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-31

Latest reported date

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: 2022-05-05

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
I20220505001387INurse PractitionerOHTBD

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 44107)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

What unique ID ties claims to ANDREA CLEVELAND?
NPI 1790433894 is assigned to ANDREA CLEVELAND under the national enumeration system.
Is ANDREA CLEVELAND's NPI currently valid?
The extract we use shows ANDREA CLEVELAND as active.
Does ANDREA CLEVELAND list a primary specialty?
If you are matching referrals, note Nurse Practitioner for ANDREA CLEVELAND. Clinical services aligned with this taxonomy classification.
Where is ANDREA CLEVELAND's primary listing?
We display Lakewood, Ohio because that is what the record indicates for ANDREA CLEVELAND.
How can I contact ANDREA CLEVELAND?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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