MR. JERRAMI LYDIC ACNPC-AG
NPI 1912788092
Nurse Practitioner - Acute Care in Youngstown, OH

Active since October 13, 2023PECOS EnrolledAccepts Medicare Assignment
4935 HOPKINS RD, YOUNGSTOWN, OH 44511(330) 716-4380 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jerrami Lydic Acnpc-ag NPPES

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

MR. JERRAMI LYDIC ACNPC-AG (NPI 1912788092) is an individual acute care provider in Youngstown, Ohio, licensed in Ohio (APRN.CNP.0035160) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS, is affiliated with University Hospitals Portage Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1912788092
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. JERRAMI LYDICCredential: ACNPC-AG
Location Address4935 HOPKINS RDYoungstown, OH 44511-3623
Mailing Address4935 Hopkins RdYoungstown, OH 44511-3623 · (330) 716-4380
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 13, 2023
NPPES CertifiedOctober 13, 2023
NPI 1912788092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses Licensed in OH · APRN.CNP.0035160 Licensed in PA · RN716224
4935 HOPKINS RD, Youngstown, OH 44511

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

Mr. Jerrami Lydic Acnpc-ag 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 ID1759815863
PECOS Enrollment IDI20241112003981
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Hospitals Portage Medical Center

Acute Care Hospitals · Ravenna, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360078
Location6847 N ChestnutRavenna, OH 44266 · Portage County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44511 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 Jerrami Lydic's NPI number?

The NPI number for Jerrami Lydic is 1912788092. It was assigned to this individual provider in the NPPES registry on October 13, 2023.

Where is Jerrami Lydic located?

Jerrami Lydic practices at 4935 Hopkins Rd, Youngstown, OH 44511. The listed phone number is (330) 716-4380.

What is Jerrami Lydic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jerrami Lydic enrolled in Medicare?

Yes. Jerrami Lydic 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 Jerrami Lydic accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list Jerrami Lydic 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.

Is Jerrami Lydic affiliated with any hospitals?

According to CMS data, Jerrami Lydic is affiliated with University Hospitals Portage Medical Center.

When was this NPI record last updated?

The NPPES record for Jerrami Lydic was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.