Individual provider Active NPI

Yvette Ledjo

  • Family Nurse Practitioner
  • Germantown, MD
National Provider Identifier
1972954139
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R187467 Issued in MD
Practice address
12 Indian Grass CT
Germantown, MD 20874-2930
Phone
(240) 644-5570
NPI assigned
Jun 28, 2016
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R187467 MD
Family Nurse Practitioner 363LF0000X R187467 MD Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R187467 MD

Addresses

Primary practice location

12 Indian Grass CT
Germantown, MD 20874-2930

Mailing address

12 Indian Grass CT
Germantown, MD 20874-2930
Phone (240) 644-5570

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
I20250724002823 DC Practitioner - Nurse Practitioner 4183131220 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R187467MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Healthcare Clinic Limited Liability Company Psychiatric/Mental Health CurrentSince Jul 3, 2025 Accepting new patients
Evergreen Healthcare Clinic Limited Liability Company Family Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1972954139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 INDIAN GRASS CT",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742930",
            "telephone_number": "240-644-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 INDIAN GRASS CT",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742930",
            "telephone_number": "240-644-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDJO",
        "first_name": "YVETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R187467",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R187467",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R187467",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.