Active NPI
Aileen Elizabeth Bergen, PA
- Medical Physician Assistant
- Virginia Beach, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0110003549
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003130402 | Medicaid | VA |
Other names 1
- Aileen Elizabeth Wawrzaszek
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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 100
- Quality
- 95.04
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.32 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2508 | SC | MD | Occupational Therapist |
| 013890 | NY | MD | Speech-Language Pathologist |
| PA2523 | TN | MD | Physician Assistant |
| 0110003549 | VA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Velocity Urgent Care, LLC | Current | Accepting new patients | |
| Orthopedic Assoc of Dutchess County P C | Current | Accepting new patients | |
| Orthopedic Assoc of Dutchess County P C | Physician Assistant | Current | Accepting new patients |
| Vann-Virginia Center for Orthopaedics PC | Current | Accepting new patients | |
| Vann-Virginia Center for Orthopaedics PC | Current | 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.
-
- Urgent Care Clinic/Center
- Williamsburg, VA
- NPI 1205350584
-
dba Atlantic Orthopaedic Specialists
- Orthopaedic Surgery Physician
- Norfolk, VA
- NPI 1639125271
-
- Emergency Medicine Physician
- Norfolk, VA
- NPI 1033136841
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1619274446
-
- Orthopaedic Surgery Physician
- Poughkeepsie, NY
- NPI 1386661452
-
- Orthopaedic Surgery Physician
- New Windsor, NY
- NPI 1396049797
-
- Orthopaedic Surgery Physician
- Kingston, NY
- NPI 1588681662
Physician Assistant
-
dba Atlantic Orthopaedic Specialists
- Orthopaedic Surgery Physician
- Kill Devil Hills, NC
- NPI 1669169983
-
- Primary Care Clinic/Center
- Roanoke, VA
- NPI 1518304955
-
- Specialist
- Albany, NY
- NPI 1568415412
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.