Active NPI
Lydia Yilma, NP
- Family Nurse Practitioner
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024178488
- Practice address
- 19305 Ruby Dr
Leesburg, VA 20176-6508 - Phone
- (866) 389-2727
- NPI assigned
- Jan 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 120675 | WV | |
| Family Nurse Practitioner | 363LF0000X | 26NJ15174600 | NJ | |
| Family Nurse Practitioner | 363LF0000X | SP030751 | PA | |
| Family Nurse Practitioner | 363LF0000X | GAA-NP002639 | GA | |
| Family Nurse Practitioner | 363LF0000X | 355366 | NY | |
| Family Nurse Practitioner | 363LF0000X | 5020776 | NC | |
| Family Nurse Practitioner | 363LF0000X | 200755 | ND | |
| Family Nurse Practitioner | 363LF0000X | 0024178488 | VA | Primary |
| Family Nurse Practitioner | 363LF0000X | 13820 | CT | |
| Family Nurse Practitioner | 363LF0000X | 29341 | SC | |
| Family Nurse Practitioner | 363LF0000X | 15846-33 | WI | |
| Family Nurse Practitioner | 363LF0000X | CP003379 | SD |
Addresses
Primary practice location
19305 Ruby Dr
Leesburg, VA 20176-6508
Mailing address
11424 Old Mountain Rd
Glen Allen, VA 23060-1916
Phone (804) 301-7422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC, NJ, SC, NY, PA, WI, GA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 9
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
Practice addresses (Care Compare)
1170 Emmet St N
Charlottesville, VA 22903-4836
Phone (866) 389-2727
1218 E Lancaster Ave
Bryn Mawr, PA 19010-2616
Phone (866) 389-2727
2782 N Cobb Pkwy
Kennesaw, GA 30152-3472
Phone (866) 389-2727
307 Egg Harbor Rd
Sewell, NJ 08080-1850
Phone (866) 389-2727
375 White Plains Rd
Eastchester, NY 10709-2826
Phone (866) 389-2727
698 Fairview Rd
Simpsonville, SC 29680-6708
Phone (866) 389-2727
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.81 of 100
- Quality
- 73.41
- Improvement activities
- 40
- Cost
- 81.45
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.36 of 100
- Quality
- 78.67
- Improvement activities
- 40
- Cost
- 83.65
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.41 of 100
- Quality
- 77.71
- Improvement activities
- 40
- Cost
- 82.25
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GAA-NP002639 | GA | MD | Family Nurse Practitioner |
| 200755 | ND | MD | Family Nurse Practitioner |
| 355366 | NY | MD | Family Nurse Practitioner |
| CP003379 | SD | MD | Family Nurse Practitioner |
| 15846-33 | WI | MD | Family Nurse Practitioner |
| 120675 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Video Virtual Care of Wisconsin, SC | Family | Current | Accepting new patients |
| Minuteclinic Video Virtual Care, PLLC | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic of New Jersey LLC | Family | Current | Accepting new patients |
| Medical Group of New York, P.C. | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic South Carolina LLC | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic of Wisconsin, LLC | Family | Current | Accepting new patients |
| Minuteclinic LLC | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic of Virginia LLC | Family | Current | Accepting new patients |
| Minuteclinic Diagnostic of Pennsylvania LLC | Family | Current | Accepting new patients |
Locations
2782 N Cobb Pkwy NW
Kennesaw, GA 30152
Phone (770) 420-1092
11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141
7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002
471 Main St
Chatham, NJ 07928
Phone (973) 635-4636
4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700
307 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-1177
107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222
375 White Plains Rd
Eastchester, NY 10709
Phone (914) 337-5300
7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910
1218 E Lancaster Ave
Bryn Mawr, PA 19010
Phone (610) 519-1920
840 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 362-6303
1500 Spruce St
Philadelphia, PA 19102
Phone (215) 790-3290
698 Fairview Rd
Simpsonville, SC 29680
Phone (864) 962-8991
1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687
1170 Emmet St N
Charlottesville, VA 22903
Phone (434) 293-9151
19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918
1650 N Farwell Ave
Milwaukee, WI 53202
Phone (414) 277-5044
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Organizations & group practices 9
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.
-
- Family Nurse Practitioner
- Eastchester, NY
- NPI 1487983516
-
- Family Nurse Practitioner
- Sewell, NJ
- NPI 1053353615
-
- Family Nurse Practitioner
- Woonsocket, RI
- NPI 1316402746
PA, SC
-
- Family Nurse Practitioner
- Bryn Mawr, PA
- NPI 1881738037
-
- Family Nurse Practitioner
- Milwaukee, WI
- NPI 1346664216
-
- Family Nurse Practitioner
- Simpsonville, SC
- NPI 1447420815
-
- Family Nurse Practitioner
- Milwaukee, WI
- NPI 1932732914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1215527544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11424 OLD MOUNTAIN RD",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230601916",
"telephone_number": "804-301-7422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19305 RUBY DR",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201766508",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YILMA",
"first_name": "LYDIA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-20",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "120675",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ15174600",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP030751",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "GAA-NP002639",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "355366",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5020776",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ND",
"license": "200755",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024178488",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "13820",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "29341",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "15846-33",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SD",
"license": "CP003379",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.