DR. NICKISHA NAULIE BERLUS M.D.
NPI 1609134873
Family Medicine in Federal Way, WA

Active since April 25, 2012PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
32018 23RD AVE S, FEDERAL WAY, WA 98003(206) 520-5000 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2024, Mar 2, 2023, Jan 5, 2022 and 1 more (4 updates tracked since 2016).

About Dr. Nickisha Naulie Berlus M.d. NPPES

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

DR. NICKISHA NAULIE BERLUS M.D. (NPI 1609134873) is an individual family medicine provider in Federal Way, Washington, licensed in Washington (MD61245514) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Valley Medical Center, and maintains a secondary practice location in Tacoma.

NPPES Registry Identity

NPI1609134873
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NICKISHA NAULIE BERLUSCredential: M.D.
Location Address32018 23RD AVE SFederal Way, WA 98003-6022
Mailing AddressPo Box 34703Seattle, WA 98124-1703 · (253) 681-6626
Sole ProprietorYes
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2012
Enumeration DateApril 25, 2012
Last NPPES UpdateAugust 9, 20244 updates tracked since enumeration
NPPES CertifiedAugust 9, 2024
NPI 1609134873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · MD61245514
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
32018 23RD AVE S, Federal Way, WA 98003

Secondary Practice Location 1

Location 11112 S Cushman AveTacoma, WA 98405-3631 · Phone (253) 593-2144 · Fax (253) 246-6725

Accepted Insurance

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

Dr. Nickisha Naulie Berlus M.d. 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 ID840599510
PECOS Enrollment IDI20220203000968
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.

Hospital Affiliations CMS Care Compare

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

Valley Medical Center

Acute Care Hospitals · Renton, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500088
Location400 S 43rd StRenton, WA 98055 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98003 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Family Medicine
32018 23RD AVE S
FEDERAL WAY, WA 98003
Nurse Practitioner (Family)
32018 23RD AVE S
FEDERAL WAY, WA 98003
Family Medicine
32018 23RD AVE S
FEDERAL WAY, WA 98003
Internal Medicine
32018 23RD AVE S
FEDERAL WAY, WA 98003
Family Medicine
32018 23RD AVE S
FEDERAL WAY, WA 98003
Nurse Practitioner (Family)
32018 23RD AVE S
FEDERAL WAY, WA 98003
Internal Medicine
32018 23RD AVE S
FEDERAL WAY, WA 98003
Internal Medicine
32018 23RD AVE S
FEDERAL WAY, WA 98003

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 Nickisha Berlus's NPI number?

The NPI number for Nickisha Berlus is 1609134873. It was assigned to this individual provider in the NPPES registry on April 25, 2012.

Where is Nickisha Berlus located?

Nickisha Berlus practices at 32018 23rd Ave S, Federal Way, WA 98003. The listed phone number is (206) 520-5000.

What is Nickisha Berlus's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nickisha Berlus enrolled in Medicare?

Yes. Nickisha Berlus 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.

What insurance does Nickisha Berlus accept?

Health plans from Providence Health Plan list Nickisha Berlus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nickisha Berlus affiliated with any hospitals?

According to CMS data, Nickisha Berlus is affiliated with Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Nickisha Berlus was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.