Individual provider Active NPI

Priscilla Yeon, PA-C

  • Physician Assistant
  • Rockville, MD
National Provider Identifier
1861965790
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0007512 Issued in MD
Practice address
14995 Shady Grove Rd Ste 150
Rockville, MD 20850-8732
Phone
(301) 358-5919
NPI assigned
Jan 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110007035 VA
Physician Assistant 363A00000X C0007512 MD Primary

Addresses

Primary practice location

14995 Shady Grove Rd Ste 150
Rockville, MD 20850-8732

Mailing address

14995 Shady Grove Rd Ste 150
Rockville, MD 20850-8732
Phone (301) 358-5919

Other practice location 1

45155 Research Pl Ste 140
Ashburn, VA 20147-4193
Phone (703) 858-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20201110000971 DC Practitioner - Physician Assistant 8729498365 Reassigns benefits to 1 organization
I20201113000735 VA Practitioner - Physician Assistant 8729498365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Maryland PCGroup PAC ID 9931489804, 43 clinicians
Advanced Dermatology of Virginia IncGroup PAC ID 9436438538, 27 clinicians

Practice addresses (Care Compare)

14995 Shady Grove Rd
Suite 150
Rockville, MD 20850-8732
Phone (239) 465-4916

2401 Research Blvd
Suite 260
Rockville, MD 20850-3261
Phone (301) 990-6565

45155 Research PL
Suite 140
Ashburn, VA 20147-4193
Phone (703) 858-0500

Merit-based Incentive Payment System (MIPS)

Final score
75.95 of 100Reported as group
Quality
78.27
Promoting interoperability
91
Improvement activities
20
Cost
74.08

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
78.47
Promoting interoperability
83
Improvement activities
40
Cost
82.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0007512MDMDPhysician Assistant
0110007035VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Maryland PC CurrentSince Apr 1, 2022 Accepting new patients
Advanced Dermatology of Maryland PC CurrentSince Apr 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Advanced Dermatology of Maryland PC Past Accepting new patients

Locations

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

14995 Shady Grove Rd
Ste 150
Rockville, MD 20850
Phone (301) 358-5919

2401 Research Blvd
Ste 260
Rockville, MD 20850
Phone (301) 990-6565

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": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1861965790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14995 SHADY GROVE RD STE 150",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208508732",
            "telephone_number": "301-358-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14995 SHADY GROVE RD STE 150",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208508732",
            "telephone_number": "301-358-5919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45155 Research Pl Ste 140",
            "address_purpose": "LOCATION",
            "city": "Ashburn",
            "state": "VA",
            "postal_code": "201474193",
            "country_code": "US",
            "telephone_number": "703-858-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEON",
        "first_name": "PRISCILLA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007035",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0007512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.