Individual provider Active NPI

Hryhory Yakymiv

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1043706880
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP018866 Issued in PA
Practice address
1500 Spruce St
Philadelphia, PA 19102-4502
Phone
(215) 790-3290
NPI assigned
Jul 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP018866 PA Primary
Primary Care Nurse Practitioner 363LP2300X SP018866 PA

Addresses

Primary practice location

1500 Spruce St
Philadelphia, PA 19102-4502

Mailing address

1500 Spruce St
Philadelphia, PA 19102-4502
Phone (215) 790-3290

Other practice location 1

2026 N Broad St
Lansdale, PA 19446
Phone (215) 368-4434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180823001672 PA Practitioner - Nurse Practitioner 7012266034 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners PC CurrentSince Jul 21, 2025 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince Sep 22, 2023 Accepting new patients
Movn Health Medical Group PLLC Past Accepting new patients
Openloop Healthcare Partners New Jersey PC Past Accepting new patients

Locations (25 of 29)

175 Capital Blvd
Fl 4
Rocky Hill, CT 06067
Phone (860) 380-0452

1015 15th St NW
Ste 1000
Washington, DC 20005
Phone (833) 815-2200

8270 Woodland Center Blvd
#110112
Tampa, FL 33614
Phone (804) 200-7348

500 Ala Moana Blvd
Ste 7
Honolulu, HI 96813

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

3597 E Monarch Sky Ln
Ste 240
Meridian, ID 83646
Phone (208) 996-3519

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

35 Village Rd
Ste 100
Middleton, MA 01949
Phone (978) 222-3131

16701 Melford Blvd
Ste 400
Bowie, MD 20715
Phone (202) 836-7776

525 N Tryon St
Ste 1600
Charlotte, NC 28202
Phone (855) 478-8208

1299 Farnam St
Ste 300
Omaha, NE 68102
Phone (402) 347-4191

170 Commerce Way
Ste 2003113
Portsmouth, NH 03801

101 Hudson St
Jersey City, NJ 07302
Phone (516) 432-3800

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311

80 Broad St
Fl 5
New York, NY 10004
Phone (201) 286-1122

100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902

10260 SW Greenburg Rd
Fl 4
Tigard, OR 97223
Phone (503) 405-9338

1218 E Lancaster Ave
Bryn Mawr, PA 19010
Phone (610) 519-1920

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

840 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 362-6303

18 Campus Blvd
Ste 100
Newtown Square, PA 19073
Phone (484) 680-7575

1500 Spruce St
Philadelphia, PA 19102
Phone (215) 790-3290

101 S Reid St
Ste 307
Sioux Falls, SD 57103
Phone (605) 221-6244

180 N University Ave
Ste 270
Provo, UT 84601
Phone (385) 469-3731

Organizations & group practices 4

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": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1043706880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024502",
            "telephone_number": "215-790-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024502",
            "telephone_number": "215-790-3290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2026 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Lansdale",
            "state": "PA",
            "postal_code": "19446",
            "country_code": "US",
            "telephone_number": "215-368-4434",
            "fax_number": "215-361-7579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAKYMIV",
        "first_name": "HRYHORY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-05",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018866",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP018866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.