ALISON GERLACH AGNP-C
NPI 1275229346
Nurse Practitioner in Fall River, MA

Q: What is Alison Gerlach's NPI number?

The NPI number for Alison Gerlach is 1275229346. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Q: What is Alison Gerlach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Alison Gerlach was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 12, 2023PECOS Enrolled

203 PLYMOUTH AVE STE 701, FALL RIVER, MA 02721(508) 235-5445 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Alison Gerlach Agnp-c NPPES

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

ALISON GERLACH AGNP-C (NPI 1275229346) is an individual nurse practitioner in Fall River, Massachusetts, licensed in Massachusetts (RN2298067) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1275229346

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameALISON GERLACHCredential: AGNP-C

Location Address203 PLYMOUTH AVE STE 701Fall River, MA 02721-4300

Mailing Address98 Pitman StProvidence, RI 02906-4312 · (513) 766-6125

Phone(508) 235-5445

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateApril 12, 2023

NPPES CertifiedApril 12, 2023

✔ NPI 1275229346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MA · RN2298067

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

203 PLYMOUTH AVE STE 701, Fall River, MA 02721

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alison Gerlach Agnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315305638

PECOS Enrollment IDI20230620000140, I20231002001170

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 Reassignments

Medicare enrollment records show Alison Gerlach reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prima Care, PC

Same address

Clinic/Center

277 PLEASANT ST, 4TH FLOOR
Fall River, MA 02721

Reassigned Medicare billing, Massachusetts and Rhode Island enrollments
317 clinicians in this Medicare group

NPI 1265422596 (508) 676-3292

Pai Participant Ma PC

48 mi

Geriatric Medicine

111 ORIENT AVE
East Boston, MA 02128

Reassigned Medicare billing, Massachusetts enrollment
47 clinicians in this Medicare group

NPI 1932984317 (617) 596-2100

Comprehensive Rehab Consultants PLLC

323 mi

Physical Medicine & Rehabilitation

1300 WINDLASS DR
Middle River, MD 21220

Reassigned Medicare billing, Rhode Island enrollment
8 clinicians in this Medicare group

NPI 1710529771 (410) 687-1383

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 4

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

322 services63 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

45 services25 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

34 services18 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02721 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

Other Providers at the Same Location NPPES 8

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

PRAJEENA MAINALI D.O.

Family Medicine