Individual provider Active NPI

Danielle O'Brien, APRN

  • Family Nurse Practitioner
  • Plainville, CT
National Provider Identifier
1013562784
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8379 Issued in CT
Practice address
Plainville Internal Medicine
120 West Main Street
Plainville, CT 06062-1944
Phone
(860) 747-0411
NPI assigned
Aug 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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 8379 CT Primary

Addresses

Primary practice location

Plainville Internal Medicine
120 West Main Street
Plainville, CT 06062-1944

Mailing address

22 Clifdon Dr
Simsbury, CT 06070-1263
Phone (203) 554-7471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20190926000271 CT Practitioner - Nurse Practitioner 4385974872 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charter Oak Health Center, IncGroup PAC ID 3870401078, 37 clinicians

Practice addresses (Care Compare)

21 Grand St
Hartford, CT 06106-1541
Phone (860) 550-7500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8379CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc Nurse Practitioner CurrentSince Dec 16, 2019 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Dec 16, 2019 Accepting new patients
Prohealth Physicians PC Nurse Practitioner CurrentSince Oct 9, 2023 Accepting new patients
Charter Oak Health Center, Inc. CurrentSince Apr 16, 2024 Accepting new patients
Charter Oak Health Center, Inc. CurrentSince Apr 16, 2024 Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

21 Grand St
Hartford, CT 06106

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

120 W Main St
Plainville, CT 06062
Phone (860) 205-1650

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

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.

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1013562784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CLIFDON DR",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060701263",
            "telephone_number": "203-554-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAINVILLE INTERNAL MEDICINE",
            "address_2": "120 WEST MAIN STREET",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621944",
            "telephone_number": "860-747-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "DANIELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainville, CT

Sources for this page

Verify at the official NPI Registry.