Individual provider Active NPI

Yasmine Mounia Kletter, NP

  • Primary Care Nurse Practitioner
  • Woodbridge, VA
National Provider Identifier
1003449448
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0024178833 Issued in VA
Practice address
Potomac Center Office, 2296 Opitz Blvd
Ste. 300
Woodbridge, VA 22191-3354
Phone
(703) 523-0998
NPI assigned
Feb 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 0024178833 VA Primary

Addresses

Primary practice location

Potomac Center Office, 2296 Opitz Blvd
Ste. 300
Woodbridge, VA 22191-3354

Mailing address

Potomac Center Office, 2296 Opitz Blvd
Ste. 300
Woodbridge, VA 22191-3354
Phone (703) 523-0998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230905000838 VA Practitioner - Nurse Practitioner 2769845031 Reassigns benefits to 1 organization
I20250908003444 MD Practitioner - Nurse Practitioner 2769845031 Reassigns benefits to 1 organization
I20251008001063 DC Practitioner - Nurse Practitioner 2769845031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Neighborhood HealthGroup PAC ID 7517853419, shared by 14 NPIs, 48 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

3007 Tilden St NW
Suite 5N
Washington, DC 20008-3030

4660 Wilkens Ave
Suite 100
Baltimore, MD 21229-4899
Phone (410) 247-0782

8350 Richmond Hwy
Alexandria, VA 22309-2344
Phone (703) 535-6913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Aug 21, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Aug 21, 2025 Accepting new patients
Sentara Medical Group CurrentSince Jul 1, 2023 Accepting new patients
Medstar Medical Group II LLC CurrentSince Aug 21, 2025 Accepting new patients
Neighborhood Health Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

4660 Wilkens Ave
Ste 100
Baltimore, MD 21229
Phone (410) 247-0782

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

2296 Opitz Blvd
Ste 300
Woodbridge, VA 22191
Phone (703) 523-0998

Interoperability endpoints

  • Direct secure messaging: ykletter617838@direct.sentara.net

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1003449448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POTOMAC CENTER OFFICE, 2296 OPITZ BLVD",
            "address_2": "STE. 300",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913354",
            "telephone_number": "703-523-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "POTOMAC CENTER OFFICE, 2296 OPITZ BLVD",
            "address_2": "STE. 300",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913354",
            "telephone_number": "703-523-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLETTER",
        "first_name": "YASMINE",
        "middle_name": "MOUNIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024178833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.