Individual provider Active NPI

Susan L O'Brien, CRNP

  • Family Nurse Practitioner
  • Wyomissing, PA
National Provider Identifier
1003290966
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015090 Issued in PA
Practice address
2608 Keiser Blvd
Wyomissing, PA 19610-1961
Phone
(610) 685-5864
Fax
(610) 929-1528
NPI assigned
Jul 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP015090 PA Primary

Addresses

Primary practice location

2608 Keiser Blvd
Wyomissing, PA 19610-1961

Mailing address

205 Beta Cir
Wernersville, PA 19565-1647
Phone (610) 451-5640

Other practice location 1

13 Armand Hammer Blvd
Ste 300
Pottstown, PA 19464-5067
Phone (610) 685-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20151110000213 PA Practitioner - Nurse Practitioner 3072823772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Respiratory Specialists LTDGroup PAC ID 6204812076, 18 clinicians

Practice addresses (Care Compare)

2608 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (610) 685-5864

Hospital & facility affiliations

  • Reading Hospital Hospital, West Reading, PA, CCN 390044
  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096

Merit-based Incentive Payment System (MIPS)

Final score
74.57 of 100Reported as group
Quality
58.95
Promoting interoperability
60
Improvement activities
40
Cost
79.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Respiratory Specialists LTD CurrentSince Sep 2, 2015 Accepting new patients

Locations

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

13 Armand Hammer Blvd
Ste 300
Pottstown, PA 19464
Phone (610) 327-7673

542 N Lewis Rd
Ste 207
Royersford, PA 19468
Phone (610) 933-8000

2608 Keiser Blvd
Wyomissing, PA 19610
Phone (610) 929-5864

Interoperability endpoints

  • Direct secure messaging: sobrien@respiratoryspecialists.medentdirect.com

Organizations & group practices 1

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1003290966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BETA CIR",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195651647",
            "telephone_number": "610-451-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 KEISER BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101961",
            "telephone_number": "610-685-5864",
            "fax_number": "610-929-1528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 Armand Hammer Blvd",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Pottstown",
            "state": "PA",
            "postal_code": "194645067",
            "country_code": "US",
            "telephone_number": "610-685-5864",
            "fax_number": "610-929-1528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-10",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.