ALISON BERLENBACH
NPI 1063187730
Nurse Practitioner - Family in Washington, DC

Active since August 13, 2021PECOS EnrolledAccepts Medicare Assignment
86.01/100
CMS Quality Rating
1275 PENNSYLVANIA AVE NW, WASHINGTON, DC 20004(866) 389-2727 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 16, 2023, Aug 13, 2021 (2 updates tracked since 2021).

About Alison Berlenbach NPPES

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

ALISON BERLENBACH (NPI 1063187730) is an individual family provider in Washington, District Of Columbia, licensed in District Of Columbia (NP200002611) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Luminis Health Anne Arundel Medical Center, Inc, and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1063187730
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALISON BERLENBACH
Location Address1275 PENNSYLVANIA AVE NWWashington, DC 20004-2404
Mailing Address1275 Pennsylvania Ave NwWashington, DC 20004-2404
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2021
Enumeration DateAugust 13, 2021
Last NPPES UpdateJanuary 16, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2023
NPI 1063187730 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 DC · NP200002611
1275 PENNSYLVANIA AVE NW, Washington, DC 20004

Secondary Practice Location 1

Location 16 DuPont Cir NWWashington, DC 20036-1108 · Phone (866) 389-2727

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

Alison Berlenbach 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 ID8628467248
PECOS Enrollment IDI20211119000096, I20240319001283
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 6

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.
124 services113 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
98 services84 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.
92 services92 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
38 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients
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.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Luminis Health Anne Arundel Medical Center, Inc

Acute Care Hospitals · Annapolis, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210023
Location2001 Medical ParkwayAnnapolis, MD 21401 · Anne Arundel County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20004 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.

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.

86.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.92
Improvement Activities40
Cost93.86

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Family)
1275 PENNSYLVANIA AVE NW
WASHINGTON, DC 20004
Nurse Practitioner (Family)
1275 PENNSYLVANIA AVE NW
WASHINGTON, DC 20004
Nurse Practitioner (Family)
1275 PENNSYLVANIA AVE NW
WASHINGTON, DC 20004
Pharmacist
1275 PENNSYLVANIA AVE NW
WASHINGTON, DC 20004
Pharmacist
1275 PENNSYLVANIA AVE NW
WASHINGTON, DC 20004
Nurse Practitioner (Family)
1275 PENNSYLVANIA AVE NW
WASHINGTON, DC 20004
Pharmacist
1275 PENNSYLVANIA AVE NW
WASHINGTON, DC 20004
Pharmacist
1275 PENNSYLVANIA AVE NW
WASHINGTON, DC 20004

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 Alison Berlenbach's NPI number?

The NPI number for Alison Berlenbach is 1063187730. It was assigned to this individual provider in the NPPES registry on August 13, 2021.

Where is Alison Berlenbach located?

Alison Berlenbach practices at 1275 Pennsylvania Ave NW, Washington, DC 20004. The listed phone number is (866) 389-2727.

What is Alison Berlenbach's specialty?

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

Is Alison Berlenbach enrolled in Medicare?

Yes. Alison Berlenbach 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.

Is Alison Berlenbach affiliated with any hospitals?

According to CMS data, Alison Berlenbach is affiliated with Luminis Health Anne Arundel Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Alison Berlenbach was last updated on January 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.