Individual provider Active NPI

Aileen Elizabeth Bergen, PA

  • Medical Physician Assistant
  • Virginia Beach, VA
National Provider Identifier
1003130402
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110003549 Issued in VA
Practice address
1800 Camelot Dr Ste 300
Virginia Beach, VA 23454-2440
Phone
(757) 321-3300
Fax
(757) 321-3330
NPI assigned
Mar 15, 2010
Last updated
Jul 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2523 TN
Medical Physician Assistant 363AM0700X 0110003549 VA Primary
Physician Assistant 363A00000X 0110003549 VA
Physician Assistant 363A00000X 013890 NY
Surgical Physician Assistant 363AS0400X 2508 SC

Addresses

Primary practice location

1800 Camelot Dr Ste 300
Virginia Beach, VA 23454-2440

Mailing address

230 Clearfield Ave Ste 124
Virginia Beach, VA 23462-1832
Phone (757) 321-3383

Other practice location 1

1326 E Little Creek Rd
Norfolk, VA 23518-3952
Phone (757) 772-6122

Other identifiers 1

IdentifierTypeStateIssuer
1003130402MedicaidVA

Other names 1

  • Aileen Elizabeth Wawrzaszek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110407000059 VA Practitioner - Physician Assistant 8224212790 Reassigns benefits to 4 organizations
I20170106001122 NY Practitioner - Physician Assistant 8224212790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Philadelphia College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Velocity Urgent Care LLCGroup PAC ID 7618234980, 84 clinicians

Practice addresses (Care Compare)

1001 Centerbrooke LN
Suite 100
Suffolk, VA 23434-8663
Phone (757) 702-8105

1326 E Little Creek Rd
Norfolk, VA 23518-3952
Phone (757) 583-6338

1944 Centerville Tpke
Suite 100
Virginia Beach, VA 23464-6839
Phone (757) 362-9067

20209 Sentara Way
Carrollton, VA 23314-3573
Phone (757) 542-1100

2168 General Booth Blvd
Suite 510
Virginia Beach, VA 23454-5804
Phone (757) 702-8122

2859 Virginia Beach Blvd
Virginia Beach, VA 23452-7613
Phone (757) 395-1300

4374 New Town Ave
Williamsburg, VA 23188-2865
Phone (757) 984-6140

7394 Harbour Towne Pkwy
Suite 5
Suffolk, VA 23435-3473
Phone (757) 702-8116

7435 Granby St
Norfolk, VA 23505-3406
Phone (757) 702-8101

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.87 of 100Reported as group
Quality
95.04
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.32 of 100Reported as group
Quality
87.23
Promoting interoperability
100
Improvement activities
40
Cost
87.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2508SCMDOccupational Therapist
013890NYMDSpeech-Language Pathologist
PA2523TNMDPhysician Assistant
0110003549VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Velocity Urgent Care, LLC CurrentSince Jul 1, 2025 Accepting new patients
Orthopedic Assoc of Dutchess County P C CurrentSince Jan 13, 2020 Accepting new patients
Orthopedic Assoc of Dutchess County P C Physician Assistant CurrentSince Jan 13, 2020 Accepting new patients
Vann-Virginia Center for Orthopaedics PC CurrentSince Jan 17, 2022 Accepting new patients
Vann-Virginia Center for Orthopaedics PC CurrentSince Jan 17, 2022 Accepting new patients
Blue Ridge Healthcare Partners, LLC Past Accepting new patients
Orthopedicsny, LLP Past Accepting new patients

Locations

918 Ulster Ave
Kingston, NY 12401
Phone (845) 339-8900

3141 US Route 9W
Ste 100
New Windsor, NY 12553
Phone (845) 454-0120

1910 South Rd
Poughkeepsie, NY 12601
Phone (845) 454-0120

1326 E Little Creek Rd
Norfolk, VA 23518
Phone (757) 583-6338

1800 Camelot Dr
Ste 300
Virginia Beach, VA 23454
Phone (757) 321-3383

1975 Glenn Mitchell Dr
Ste 200
Virginia Beach, VA 23456
Phone (757) 321-3383

230 Clearfield Ave
Ste 124
Virginia Beach, VA 23462
Phone (757) 321-3383

4374 New Town Ave
Williamsburg, VA 23188
Phone (757) 772-6124

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1003130402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CLEARFIELD AVE STE 124",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621832",
            "telephone_number": "757-321-3383",
            "fax_number": "573-213-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 CAMELOT DR STE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542440",
            "telephone_number": "757-321-3300",
            "fax_number": "757-321-3330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1326 E Little Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235183952",
            "country_code": "US",
            "telephone_number": "757-772-6122",
            "fax_number": "833-491-4965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGEN",
        "first_name": "AILEEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA2523",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110003549",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003549",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013890",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": "2508",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003130402",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AILEEN",
            "last_name": "WAWRZASZEK",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.