Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alyssa Kjerulf, PA-C

Individual provider Physician Assistant · NPI 1730920026

Alyssa Kjerulf, PA-C is a Physician Assistant in Columbia, Maryland. Qualified in 2024, 2 years ago. Practices with Chesapeake Urology Associates LLC, a 160-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
2
Licensed in
MD
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10710 Charter Dr Ste 130
Columbia, MD 21044-3258
Phone: (410) 772-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C0009442 (MD)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1730920026
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 3, 2024
Last updated in NPPESMarch 12, 2025
Certification dateMarch 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Chesapeake Urology Associates Llc — 160 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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