Active NPI
Alyssa Katherine Koberstein, PA-C
- Physician Assistant
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0009905
- Practice address
- 22 S Greene St
Baltimore, MD 21201-1544 - Phone
- (410) 328-6110
- NPI assigned
- Apr 10, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0009905 | MD | Primary |
Addresses
Primary practice location
22 S Greene St
Baltimore, MD 21201-1544
Mailing address
22 S Greene St
Baltimore, MD 21201-1544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0009905 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Urgent Care PLLC | Physician Assistant | Current | Accepting new patients |
| Vanderbilt University Medical Center | Current | Accepting new patients | |
| Crossroads Urgent Care PLLC | Physician Assistant | Current | Accepting new patients |
Locations
Dept A T 40379
Atlanta, GA 31192
919 Murfreesboro Rd
Franklin, TN 37064
Phone (615) 791-7373
710 Nashville Pike
Ste B
Gallatin, TN 37066
Phone (615) 502-0170
2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900
3841 Green Hills Village Dr
Nashville, TN 37215
Phone (615) 322-7127
3024 Gallatin Pike
Nashville, TN 37216
Phone (615) 665-4400
3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842
719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485
Interoperability endpoints
- alyssa.koberstein@krogerhealth.eclinicaldirectplus.com
- akoberstein1311634@direct.umm.edu
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Murfreesboro, TN
- NPI 1366644361
Physician Assistant
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1104202761
-
- Family Nurse Practitioner
- White House, TN
- NPI 1487848800
-
- Internal Medicine Physician
- Franklin, TN
- NPI 1225135551
-
- Rural Health Clinic/Center
- South Pittsburg, TN
- NPI 1427781129
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1780326850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 S GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "410-328-6110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOBERSTEIN",
"first_name": "ALYSSA",
"middle_name": "KATHERINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-10",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0009905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.