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LYLIAN ANJE MUKORO CRNP
NPI 1669979746
Nurse Practitioner - Family in North Potomac, MD

Active since April 06, 2018PECOS EnrolledAccepts Medicare Assignment
17809 STONERIDGE DR, NORTH POTOMAC, MD 20878(301) 675-0577 Get Directions Write a Review

NPPES record last updated: April 6, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lylian Anje Mukoro Crnp NPPES

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

LYLIAN ANJE MUKORO CRNP (NPI 1669979746) is an individual family provider in North Potomac, Maryland, licensed in Maryland (R159823) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1669979746
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLYLIAN ANJE MUKOROCredential: CRNP
Location Address17809 STONERIDGE DRNorth Potomac, MD 20878-1019
Mailing Address17809 Stoneridge DrNorth Potomac, MD 20878-1019 · (301) 675-0577
Phone(301) 675-0577
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 6, 2018
✔ NPI 1669979746 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
License✔ Licensed in MD · R159823
17809 STONERIDGE DR, North Potomac, MD 20878
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lylian Anje Mukoro Crnp 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 ID8224411327
PECOS Enrollment IDI20220823002454
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.

Medicare Billing Reassignment

Medicare enrollment records show Lylian Mukoro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional Services Of Holy Cross
2.1 mi
Health Service
18530 OFFICE PARK DR
Montgomery Village, MD 20886
  • Reassigned Medicare billing, District of Columbia enrollment
  • 234 clinicians in this Medicare group
NPI 1043961071 (301) 557-1540

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
114 services73 patients
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.
59 services48 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
45 services45 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services22 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20878 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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 Lylian Mukoro's NPI number?

The NPI number for Lylian Mukoro is 1669979746. It was assigned to this individual provider in the NPPES registry on April 6, 2018.

Where is Lylian Mukoro located?

Lylian Mukoro practices at 17809 Stoneridge Dr, North Potomac, MD 20878. The listed phone number is (301) 675-0577.

What is Lylian Mukoro's specialty?

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

Is Lylian Mukoro enrolled in Medicare?

Yes. Lylian Mukoro 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.

Which organization bills Medicare for Lylian Mukoro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lylian Mukoro reassigns Medicare benefits to Professional Services Of Holy Cross (Montgomery Village, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lylian Mukoro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lylian Mukoro was last updated on April 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.