Individual provider Active NPI

Lydia Yilma, NP

  • Family Nurse Practitioner
  • Leesburg, VA
National Provider Identifier
1215527544
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178488 Issued in VA
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

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
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, NC9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20210920002671 VA Practitioner - Nurse Practitioner 0749687655 Reassigns benefits to 1 organization
I20210921000354 DC Practitioner - Nurse Practitioner 0749687655 Reassigns benefits to 1 organization
I20241202003584 NJ Practitioner - Nurse Practitioner 0749687655 Reassigns benefits to 1 organization
I20241213002954 SC Practitioner - Nurse Practitioner 0749687655 Reassigns benefits to 2 organizations
I20241226000095 NY Practitioner - Nurse Practitioner 0749687655 Reassigns benefits to 1 organization
I20250214002487 PA Practitioner - Nurse Practitioner 0749687655 Reassigns benefits to 2 organizations
I20250219003140 WI Practitioner - Nurse Practitioner 0749687655 Reassigns benefits to 2 organizations
I20250305001072 GA Practitioner - Nurse Practitioner 0749687655 Reassigns benefits to 1 organization
I20250310002242 NC Practitioner - Nurse Practitioner 0749687655

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
Minuteclinic Diagnostic of Virginia LLCGroup PAC ID 6709960891, 142 clinicians
Minuteclinic Video Virtual Care, PLLCGroup PAC ID 0143650416, 36 clinicians
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians
Minuteclinic Diagnostic of New Jersey LLCGroup PAC ID 8527142439, 112 clinicians
Medical Group of New York PCGroup PAC ID 2567642044, 61 clinicians

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 100Reported as group
Quality
73.41
Improvement activities
40
Cost
81.45

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
78.67
Improvement activities
40
Cost
83.65

Merit-based Incentive Payment System (MIPS)

Final score
82.41 of 100Reported as group
Quality
77.71
Improvement activities
40
Cost
82.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GAA-NP002639GAMDFamily Nurse Practitioner
200755NDMDFamily Nurse Practitioner
355366NYMDFamily Nurse Practitioner
CP003379SDMDFamily Nurse Practitioner
15846-33WIMDFamily Nurse Practitioner
120675WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Video Virtual Care of Wisconsin, SC Family CurrentSince Dec 14, 2024 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince Oct 18, 2024 Accepting new patients
Minuteclinic Diagnostic of New Jersey LLC Family CurrentSince Nov 15, 2024 Accepting new patients
Medical Group of New York, P.C. Family CurrentSince Nov 21, 2024 Accepting new patients
Minuteclinic Diagnostic South Carolina LLC Family CurrentSince Oct 18, 2024 Accepting new patients
Minuteclinic Diagnostic of Wisconsin, LLC Family CurrentSince Dec 14, 2024 Accepting new patients
Minuteclinic LLC Family CurrentSince Nov 15, 2024 Accepting new patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Aug 5, 2021 Accepting new patients
Minuteclinic Diagnostic of Pennsylvania LLC Family CurrentSince Dec 14, 2024 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.

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

Verify at the official NPI Registry.