Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jerrami Lydic, ACNPC-AG

Individual provider Acute Care Nurse Practitioner · NPI 1912788092

Mr. Jerrami Lydic, ACNPC-AG is a Nurse Practitioner in Youngstown, Ohio. Qualified in 2023, 3 years ago. Practices with University Hospitals Medical Group Inc, a 2,242-clinician group and accepts Medicare assignment. Licensed in Ohio and Pennsylvania.

Years since qualifying
3
Licensed in
OH, PA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

4935 Hopkins Rd
Youngstown, OH 44511-3623
Phone: (330) 716-4380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN.CNP.0035160 (OH)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence RN716224 (PA)

Record details

NPI number1912788092
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNPC-AG
Sole proprietorNo
NPI enumeratedOctober 13, 2023
Last updated in NPPESOctober 13, 2023
Certification dateOctober 13, 2023
Mailing address4935 Hopkins Rd, Youngstown, OH 44511-3623

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice University Hospitals Medical Group Inc — 2242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Youngstown