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ELLEN BERKENKEMPER FNP-C
NPI 1356858252
Nurse Practitioner - Family in Winchester, VA

Active since January 02, 2018PECOS Enrolled
77.14/100
CMS Quality Rating
301 N CAMERON ST, WINCHESTER, VA 22601(540) 536-1680 Get Directions Write a Review

NPPES record last updated: January 2, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ellen Berkenkemper Fnp-c NPPES

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

ELLEN BERKENKEMPER FNP-C (NPI 1356858252) is an individual family provider in Winchester, Virginia, licensed in Virginia (F12170595) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356858252
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELLEN BERKENKEMPERCredential: FNP-C
Location Address301 N CAMERON STWinchester, VA 22601-4899
Mailing Address301 N Cameron StWinchester, VA 22601-4899
Phone(540) 536-1680
Sole ProprietorNo
Enumeration DateJanuary 2, 2018
✔ NPI 1356858252 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 VA · F12170595
301 N CAMERON ST, Winchester, VA 22601
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellen Berkenkemper Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Ellen Berkenkemper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Medicine Associates, Ltd
54 mi
Interventional Pain Medicine
1750 TYSONS BLVD STE 120
Mc Lean, VA 22102
  • Reassigned Medicare billing, Virginia enrollment
  • 68 clinicians in this Medicare group
NPI 1003884560 (703) 560-8280

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 5

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 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.
1,089 services292 patients
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.
635 services247 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.
31 services31 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.
26 services23 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.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

77.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality85.04
Promoting Interoperability100
Improvement Activities40
Cost38.77

Reported Quality Measures

Advance Care Plan
86%661 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
79%481 patients4/55-star benchmark: 98%
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%36 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
95%1,279 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
78%1,062 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
95%3,346 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 72% · 865 patients
Patients screened: 72% · 865 patients
98%193 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 85% · 859 patients
Patients screened: 91% · 859 patients
61%139 patients
Provide Patients Electronic Access to Their Health Information
99%715 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

MS. SALLIE EBERT GRUNDMAN FNP
Nurse Practitioner (Family)
301 N CAMERON ST, SUITE 100
WINCHESTER, VA 22601
Winchester City (540) 536-1680
DR TERRY SINCLAIR HEALTH CLINIC INC
Clinic/Center
301 N CAMERON ST, SUITE 100
WINCHESTER, VA 22601
Winchester City (540) 536-1680
LISA CHRISTINE FARRICKER APRN
Nurse Practitioner (Family)
301 N CAMERON ST
WINCHESTER, VA 22601
Winchester City (202) 744-7482
DR. MARTHA JEAN MORROW FNP
Nurse Practitioner
301 N CAMERON ST
WINCHESTER, VA 22601
Winchester City (540) 536-1680
FREE MEDICAL CLINIC OF NORTHERN SHENANDOAH VALLEY
Clinic/Center (Health Service)
301 N CAMERON ST, SUITE 100
WINCHESTER, VA 22601
Winchester City (540) 536-1680
EMILY MCKIBBIN LAYHEW PHARMD
Pharmacist
301 N CAMERON ST
WINCHESTER, VA 22601
Winchester City (540) 536-4012

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 Ellen Berkenkemper's NPI number?

The NPI number for Ellen Berkenkemper is 1356858252. It was assigned to this individual provider in the NPPES registry on January 2, 2018.

Where is Ellen Berkenkemper located?

Ellen Berkenkemper practices at 301 N Cameron St, Winchester, VA 22601. The listed phone number is (540) 536-1680.

What is Ellen Berkenkemper's specialty?

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

Is Ellen Berkenkemper enrolled in Medicare?

Yes. Ellen Berkenkemper is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ellen Berkenkemper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Berkenkemper reassigns Medicare benefits to Physical Medicine Associates, Ltd (Mc Lean, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ellen Berkenkemper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ellen Berkenkemper was last updated on January 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.