Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Ridley, ACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1508116435

Kelly Ridley, ACNP-BC is a Nurse Practitioner in Cleveland, Ohio. Qualified in 2012, 14 years ago. Practices with Alaska Native Tribal Health Consortium, a 603-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
14
Licensed in
OH
In the registry since
2012
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Practice location Address checks out

9500 Euclid Ave Micu G62
Cleveland, OH 44195-0001
Phone: (216) 444-4059
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 13756-NP (OH)

Record details

NPI number1508116435
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP-BC
Sole proprietorNo
NPI enumeratedSeptember 18, 2012
Last updated in NPPESSeptember 18, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Alaska Native Tribal Health Consortium — 603 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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