Active NPI
Aileen Haggerty Berul, PA-C
- Physician Assistant
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 5505 Currituck Dr Ste 200
Wilmington, NC 28403-1155 - Phone
- (910) 662-2570
- Fax
- (910) 662-2579
- NPI assigned
- Jan 4, 2022
- Last updated
- Oct 21, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary | ||
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
5505 Currituck Dr Ste 200
Wilmington, NC 28403-1155
Mailing address
12933 Olivine Way
Silver Spring, MD 20904-5328
Phone (570) 780-2798
Other practice location 1
4529 Pleasure Ave
Virginia Beach, VA 23455-1438
Phone (570) 780-2798
Other practice location 2
111 Michigan Ave NW
Washington, DC 20010-2916
Phone (570) 780-2798
Other names 1
- Aileen Walsh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital | Current | Accepting new patients | |
| Children's Hospital | Current | Accepting new patients |
Locations
111 Michigan Ave NW
Washington, DC 20010
Phone (202) 884-4177
Organizations & group practices 2
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.
-
dba Children's National Specialty Pharmacy
- Community/Retail Pharmacy
- Silver Spring, MD
- NPI 1326878349
-
dba Children's National Medical Associates
- Pediatrics Physician
- Washington, DC
- NPI 1780800128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792540800000",
"number": "1306507280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12933 OLIVINE WAY",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209045328",
"telephone_number": "570-780-2798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5505 CURRITUCK DR STE 200",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284031155",
"telephone_number": "910-662-2570",
"fax_number": "910-662-2579"
}
],
"practiceLocations": [
{
"address_1": "4529 Pleasure Ave",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234551438",
"country_code": "US",
"telephone_number": "570-780-2798",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Michigan Ave NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200102916",
"country_code": "US",
"telephone_number": "570-780-2798",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERUL",
"first_name": "AILEEN",
"middle_name": "HAGGERTY",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-04",
"last_updated": "2026-10-21",
"certification_date": "2026-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AILEEN",
"last_name": "WALSH",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.