LUCIENNE YEMO – Family Nurse Practitioner, NPI 1194299479

Family Nurse Practitioner

LUCIENNE YEMO is a healthcare provider. based in Potomac falls, Virginia. specializing in NURSE PRACTITIONER. They hold a License No. 0024176927 (VA). The NPI Number for LUCIENNE YEMO is 1194299479

Main info

Female

8 Years Of Experience

Accepts Medicare Assignment

Name

LUCIENNE YEMO

NPI

1194299479

Phone

Not provided

Address

46090 LAKE CENTER PLZ STE 201

Enumeration Date

19 January 2019

Last Update Date

11 September 2021

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7032876400

Graduation Year

2018 (8 years ago)

PAC ID

2567894884

Group Practice PAC ID

3779495858

Professional Enrollment ID

I20191107000280

Address ID

VA221023109MC8008XDRXX300

Contacts

SOAP Endpoint

https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience38

Completeness85

Years active:7State licenses:1Other namesUpdated within 12 months

8,359 NURSE PRACTITIONER in VA

Provider Addresses for LUCIENNE YEMO

46090 LAKE CENTER PLZ STE 201
POTOMAC FALLS, VA 201655878
Phone:
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-11-20

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20191107000280	I	Nurse Practitioner	DC	TBD
I20191120002317	I	Nurse Practitioner	VA	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 20165)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 3779495858View full group profile

Name	Specialty	State
BEVERLY HAGNER DARNELL (MD)	-	MD
MS. PAULA GRACE (LCSW C)	-	MD
DR. SHERRY J WEINSTEIN MAYER (MD)	-	MD
DR. STEVEN G CHATLIN (DPM)	-	MD
CAROLYN SHERWOOD (PT)	-	GA
MS. COLLEEN MARIE HEALEY (CRNP)	-	MD
LORI REBECCA BAKER-GURVITCH (LCSW-C; LICSW)	-	MD
DR. DOROTHY P FEDIS (M.D.)	-	PA
Unknown Individual	-	MD
DR. PATRICIA A MCNALLY (MD)	-	VA