Active NPI
Priscilla Yeon, PA-C
- Physician Assistant
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0007512
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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 100
- Quality
- 78.27
- Promoting interoperability
- 91
- Improvement activities
- 20
- Cost
- 74.08
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.97 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| C0007512 | MD | MD | Physician Assistant |
| 0110007035 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dermatology of Maryland PC | Current | Accepting new patients | |
| Advanced Dermatology of Maryland PC | Current | 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.
-
- Dermatology Physician
- Alexandria, VA
- NPI 1801342639
-
- Dermatology Physician
- Fort Washington, MD
- NPI 1386479004
-
- Dermatology Physician
- Olney, MD
- NPI 1841025558
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.