Alecia Berlin, CRNP
Individual provider Active NPI Nurse Practitioner · Montgomery, AL
NPI 1831610872 · NPPES record last updated Jan 20, 2023
Key facts
- NPI
- 1831610872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 1-136703 (AL)
- Practice address
- 488 Saint Lukes Dr
Montgomery, AL 36117-7104 - Phone
- (334) 288-7808
- Fax
- (334) 288-8089
- NPI assigned
- Jun 29, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Center for Pain of Montgomery LLC
Practice addresses (Care Compare)
488 Saint Lukes Dr
Montgomery, AL 36117-7104
Phone (334) 288-7808
Hospital & facility affiliations
- The East Alabama Healthcare Authority
- Prattville Baptist Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.18 of 100
- Quality
- 75.76
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 73.18
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170922002422 | AL | Practitioner - Nurse Practitioner | 7416221866 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Contracting Services LLC | Nurse Practitioner | Current |
Accepting new patients |
| The Center for Pain of Montgomery LLC | Current |
Accepting new patients | |
| Emergency Services of Montgomery PC | Nurse Practitioner | Current |
Accepting new patients |
| The Center for Pain of Montgomery LLC | Current |
Accepting new patients |
Locations
1022 1st St N
Ste 305
Alabaster, AL 35007
Phone (205) 620-8676
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
520 John D Odom Rd
Dothan, AL 36303
Phone (334) 500-3511
104 Medical Dr
Dothan, AL 36303
Phone (334) 671-9445
855 Downtowner Blvd
Mobile, AL 36609
2065 E South Blvd
Ste 401
Montgomery, AL 36116
400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287
2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842
2101 Chestnut St
Montgomery, AL 36106
Phone (334) 265-9225
432 Saint Lukes Dr
Montgomery, AL 36117
Phone (334) 239-4498
488 Saint Lukes Dr
Montgomery, AL 36117
Phone (256) 496-2635
448 Saint Lukes Dr
Montgomery, AL 36117
3320 Skyway Dr
Ste 701
Opelika, AL 36801
Phone (334) 826-5577
660 McQueen Smith Rd N
Ste E
Prattville, AL 36066
Phone (334) 288-2808
124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267
13285 US Highway 231
Troy, AL 36081
Interoperability endpoints
- alecia.berlin.1@11679.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-136703 | AL | Yes |
Addresses
Primary practice location
488 Saint Lukes Dr
Montgomery, AL 36117-7104
Mailing address
4025 Beardsley Dr
Montgomery, AL 36109-1619
Other practice location 1
2105 E South Blvd
Montgomery, AL 36116-2409
Phone (334) 288-2100
Other practice location 2
124 S Memorial Dr
Prattville, AL 36067-3619
Phone (334) 365-0651
Other practice location 3
400 Taylor Rd
Montgomery, AL 36117-3512
Phone (334) 244-8448
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27503 | Other | TEAMHEALTH |
Other names
- Ms. Alecia Carroll Roth
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A | Other |
Other providers in Montgomery, AL
- Monica Lishelle Benson
- Patty B Benson
- Michael P. Bentley
- Brooke Benton
- Alan Joseph Berlin
- Jeffrey M Bern
- Berry Optical Laboratories Inc
- Avery Lucas Berry
- Berryhill Surgical Center, LLC
- James Robert Beshear
All providers in Montgomery, AL · Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.