LYDIA YILMA NP
NPI 1215527544
Nurse Practitioner - Family in Leesburg, VA

Active since January 20, 2021PECOS EnrolledAccepts Medicare Assignment
87.2/100
CMS Quality Rating
19305 RUBY DR, LEESBURG, VA 20176(866) 389-2727 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2021, Jan 20, 2021 (2 updates tracked since 2021).

About Lydia Yilma Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYDIA YILMA NP (NPI 1215527544) is an individual family provider in Leesburg, Virginia, licensed in Virginia (0024178488) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1215527544
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLYDIA YILMACredential: NP
Location Address19305 RUBY DRLeesburg, VA 20176-6508
Mailing Address11424 Old Mountain RdGlen Allen, VA 23060-1916 · (804) 301-7422
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 20, 2021
Last NPPES UpdateOctober 15, 20252 updates tracked since enumeration
NPPES CertifiedOctober 15, 2025
NPI 1215527544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in VA · 0024178488 Licensed in WV · 120675 Licensed in NJ · 26NJ15174600 Licensed in PA · SP030751 Licensed in GA · GAA-NP002639 Licensed in NY · 355366 Licensed in NC · 5020776 Licensed in ND · 200755 Licensed in CT · 13820 Licensed in SC · 29341 Licensed in WI · 15846-33 Licensed in SD · CP003379
19305 RUBY DR, Leesburg, VA 20176

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lydia Yilma Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749687655
PECOS Enrollment IDI20210920002671, I20241202003584, I20241213002954, I20241226000095, I20250214002487, I20250305001072
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20176 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.74
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
19305 RUBY DR
LEESBURG, VA 20176
Nurse Practitioner (Family)
19305 RUBY DR
LEESBURG, VA 20176
Nurse Practitioner (Family)
19305 RUBY DR
LEESBURG, VA 20176
Nurse Practitioner (Family)
19305 RUBY DR
LEESBURG, VA 20176
Nurse Practitioner (Family)
19305 RUBY DR
LEESBURG, VA 20176
Pharmacy
19305 RUBY DR
LEESBURG, VA 20176
Pharmacist
19305 RUBY DR
LEESBURG, VA 20176
Nurse Practitioner (Family)
19305 RUBY DR
LEESBURG, VA 20176

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lydia Yilma's NPI number?

The NPI number for Lydia Yilma is 1215527544. It was assigned to this individual provider in the NPPES registry on January 20, 2021.

Where is Lydia Yilma located?

Lydia Yilma practices at 19305 Ruby Dr, Leesburg, VA 20176. The listed phone number is (866) 389-2727.

What is Lydia Yilma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lydia Yilma enrolled in Medicare?

Yes. Lydia Yilma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lydia Yilma accept?

Health plans from Blue Cross and Blue Shield of NC list Lydia Yilma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lydia Yilma was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.