Individual provider Active NPI

Leny Vanessa Bernardo-Pollock, PA-C

  • Physician Assistant
  • Frederick, MD
National Provider Identifier
1063227742
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0010122 Issued in MD
Practice address
1562 Opossumtown Pike
Frederick, MD 21702-4920
Phone
(240) 215-6310
Fax
(240) 566-7754
NPI assigned
Feb 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0010122 MD Primary

Addresses

Primary practice location

1562 Opossumtown Pike
Frederick, MD 21702-4920

Mailing address

1 Frederick Health Way
Frederick, MD 21701-9435
Phone (240) 215-6310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260115002552 MD Practitioner - Physician Assistant 4789160169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1562 Opossumtown Pike
Frederick, MD 21702-4920
Phone (240) 215-6310

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0010122MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Medical Group LLC CurrentSince Jan 14, 2026 Accepting new patients
Frederick Health Medical Group LLC CurrentSince Jan 14, 2026 Accepting new patients
Frederick Health Medical Group LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1562 Opossumtown Pike
Frederick, MD 21702
Phone (240) 566-4500

1562 Opossumtown Pike
Ste 302
Frederick, MD 21702

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

1 Frederick Health Way
Frederick, MD 21701
Phone (240) 439-8812

504 E Ridgeville Blvd
Mount Airy, MD 21771
Phone (301) 703-5452

Organizations & group practices 4

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

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": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1063227742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FREDERICK HEALTH WAY",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217019435",
            "telephone_number": "240-215-6310",
            "fax_number": "240-566-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 OPOSSUMTOWN PIKE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024920",
            "telephone_number": "240-215-6310",
            "fax_number": "240-566-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDO-POLLOCK",
        "first_name": "LENY VANESSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0010122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.