Individual provider Active NPI

Allison Hailey Stern, PA-C

  • Physician Assistant
  • Bethesda, MD
National Provider Identifier
1942980545
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110009403 Issued in VA
Practice address
10401 Old Georgetown Rd Ste 400
Bethesda, MD 20814-1911
Phone
(240) 223-2639
Fax
(240) 223-3223
NPI assigned
Jul 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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 0110009403 VA Primary

Addresses

Primary practice location

10401 Old Georgetown Rd Ste 400
Bethesda, MD 20814-1911

Mailing address

10401 Old Georgetown Rd Ste 400
Bethesda, MD 20814-1911
Phone (240) 223-2639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20230905001326 DC Practitioner - Physician Assistant 4385007665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians

Practice addresses (Care Compare)

10401 Old Georgetown Rd
Suite 400
Bethesda, MD 20814-1911
Phone (240) 223-2639

4910 Massachusetts Ave NW
Suite 114 Grady DC Office
Washington, DC 20016-4384
Phone (202) 686-0813

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110009403VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC CurrentSince Aug 1, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 1, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 1, 2023 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

10401 Old Georgetown Rd
Ste 400
Bethesda, MD 20814
Phone (240) 223-2639

5530 Wisconsin Ave
Ste 1149
Chevy Chase, MD 20815
Phone (240) 223-2639

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: allison.stern.1@8042.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1942980545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 OLD GEORGETOWN RD STE 400",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141911",
            "telephone_number": "240-223-2639",
            "fax_number": "240-223-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 OLD GEORGETOWN RD STE 400",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141911",
            "telephone_number": "240-223-2639",
            "fax_number": "240-223-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERN",
        "first_name": "ALLISON",
        "middle_name": "HAILEY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-12-21",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110009403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.