Individual provider Active NPI

Yen H Le, FNP

  • Family Nurse Practitioner
  • Gaithersburg, MD
National Provider Identifier
1720768690
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R210376 Issued in MD
Practice address
4 Professional Dr
Gaithersburg, MD 20879-3407
Phone
(301) 569-6176
Fax
(301) 569-6183
NPI assigned
Jul 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R210376 MD Primary

Addresses

Primary practice location

4 Professional Dr
Gaithersburg, MD 20879-3407

Mailing address

4 Professional Dr
Gaithersburg, MD 20879-3407
Phone (301) 569-6176

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20250402002690 DC Practitioner - Nurse Practitioner 9537682240 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muslim Community CenterGroup PAC ID 3971730946, 9 clinicians

Practice addresses (Care Compare)

15200 New Hampshire Ave
MCC Medical Clinic
Silver Spring, MD 20905-5631
Phone (301) 384-2166

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R210376MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Muslim Community Center CurrentSince Jan 12, 2025 Accepting new patients

Locations

15200 New Hampshire Ave
Silver Spring, MD 20905
Phone (301) 384-2166

Organizations & group practices 2

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": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1720768690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PROFESSIONAL DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793407",
            "telephone_number": "301-569-6176",
            "fax_number": "301-569-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PROFESSIONAL DR",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793407",
            "telephone_number": "301-569-6176",
            "fax_number": "301-569-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "YEN",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R210376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.