Elizabeth Wachtel O'Brien, CNM, NP

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

1113 Issued in CA

Practice address

3200 Walford Ave
Suite B
Eureka, CA 95503-4828

Phone

(707) 445-3443

Fax

(707) 445-1848

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Open Door Community Health CentersGroup PAC ID 9436067485, shared by 11 NPIs, 113 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: e.obrien@rwc-ca.direct.office.nextgen.com
• Direct secure messaging: eobrien754290@direct.ochin.org

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.

• Redwood Women's Center, a Medical Corporation

  • Medical Specialty Clinic/Center
  • Fortuna, CA
  • NPI 1871768200
  Medicare reassignment NPD
• Pacific OB-GYN, Midwifery & Nursing Corp

  dba Pacific OB-GYN and Midwifery Center

  • Family Medicine Physician
  • Eureka, CA
  • NPI 1760812499

  Obstetrics & Gynecology

  NPD (past) Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1023133790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 WALFORD AVE",
            "address_2": "SUITE B",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034828",
            "telephone_number": "707-445-3443",
            "fax_number": "707-445-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 WALFORD AVE",
            "address_2": "SUITE B",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034828",
            "telephone_number": "707-445-3443",
            "fax_number": "707-445-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "ELIZABETH",
        "middle_name": "WACHTEL",
        "credential": "CNM, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "7579",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "1113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conner Norwood
• Deidra Notheis, ATC
• Nueva Vida Doula LLC
• Eliza Nunez
• Nusslock Chiropractic Corporation
• Karen Lilline O'Connell, RN
• Rosa Maria O'Connor, BA
• Francisca Ngiratechekii O'Donnell
• Marcella O'Flanagan, LCSW
• Anna Newton O'Gorman, LCSW

• Advanced Practice Midwife in Eureka, CA
• Providers in Eureka, CA by specialty
• Advanced Practice Midwife in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.