ALW ENTERPRISES, PA
NPI 1548820798
Clinic/Center - Primary Care in Niceville, FL

Active since June 19, 2019CLIA 10D2171156 · Waiver
1001 COLLEGE BLVD W STE B1, NICEVILLE, FL 32578(850) 252-4303(833) 963-2101 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 31, 2025, Dec 13, 2021, Oct 22, 2020 and 1 more (4 updates tracked since 2019).

About Alw Enterprises, Pa NPPES

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

ALW ENTERPRISES, PA (NPI 1548820798), doing business as Nab Life Health, is a healthcare organization registered as a primary care in Niceville, Florida and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through August 26, 2027 and lists Virginia Hauser, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1548820798
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameALW ENTERPRISES, PA
Location Address1001 COLLEGE BLVD W STE B1Niceville, FL 32578-1049
Mailing Address1001 College Blvd W Ste B1Niceville, FL 32578-1049 · (850) 252-4303 · Fax (833) 963-2101
Fax(833) 963-2101
Organization SubpartNo
Authorized OfficialVirginia HauserPractice Manager · (850) 252-4303
Enumeration DateJune 19, 2019
Last NPPES UpdateApril 17, 20254 updates tracked since enumeration
NPPES CertifiedApril 17, 2025
✔ NPI 1548820798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
1001 COLLEGE BLVD W STE B1, Niceville, FL 32578

Other Names 1

Doing Business AsNab Life Health

Other Identifiers 1

Other1114286879FL · Dr. Michael Adam Weisbruch

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alw Enterprises, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Alw Enterprises, PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1528710795
1001 COLLEGE BLVD W STE B1
Niceville, FL 32578
(850) 252-4303
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1114286879
1001 COLLEGE BLVD W STE B1
Niceville, FL 32578
(850) 252-4303
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1144938580
1001 COLLEGE BLVD W STE B1
Niceville, FL 32578
(850) 252-4303
✔ PECOS✔ Accepts Medicare3.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2171156

Alw Enterprises PA Dba Origins Healthcare · Niceville, FL
Active · expires Aug 26, 2027
CLIA Number10D2171156
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorMichael A. Weisbruch
Laboratory Phone(850) 252-4303
Laboratory LocationAlw Enterprises PA Dba Origins Healthcare1001 College Blvd, W Ste B1, Niceville, FL 32578
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Alw Enterprises, PA's NPI number?

The NPI number for Alw Enterprises, PA is 1548820798. It was assigned to this organization in the NPPES registry on June 19, 2019. The provider is doing business as NAB Life Health.

Where is Alw Enterprises, PA located?

Alw Enterprises, PA is located at 1001 College Blvd W Ste B1, Niceville, FL 32578. The listed phone number is (850) 252-4303.

What is Alw Enterprises, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Alw Enterprises, PA enrolled in Medicare?

Yes. Alw Enterprises, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alw Enterprises, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Alw Enterprises, PA, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Alw Enterprises, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2171156) is associated with this NPI, valid through August 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Alw Enterprises, PA was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.