Individual provider Active NPI

Aileen Haggerty Berul, PA-C

  • Physician Assistant
  • Wilmington, NC
National Provider Identifier
1306507280
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital CurrentSince Aug 31, 2022 Accepting new patients
Children's Hospital CurrentSince Aug 31, 2022 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.

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

Verify at the official NPI Registry.