Individual provider Active NPI

Susan P O'Brien, ANP

  • Adult Health Nurse Practitioner
  • Fall River, MA
National Provider Identifier
1053488213
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
136929 Issued in MA
Practice address
795 Middle St
St. Anne'S Hospital - Hudner Oncology
Fall River, MA 02721-1733
Phone
(508) 675-5688
Fax
(508) 675-5687
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 136929 MA Primary

Addresses

Primary practice location

795 Middle St
St. Anne'S Hospital - Hudner Oncology
Fall River, MA 02721-1733

Mailing address

795 Middle St
St. Anne'S Hospital - Hudner Oncology
Fall River, MA 02721-1733
Phone (508) 675-5688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060126000537 MA Practitioner - Nurse Practitioner 3971517160 Reassigns benefits to 2 organizations
I20241217001247 RI Practitioner - Nurse Practitioner 3971517160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prima Care, PCGroup PAC ID 2567356017, 222 clinicians

Practice addresses (Care Compare)

821 Main Rd
Tiverton, RI 02878-1334
Phone (401) 625-1001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
136929MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant Ma PC CurrentSince Nov 3, 2025 Accepting new patients
Prima Care, PC CurrentSince Jun 1, 2017 Accepting new patients
Prima Care, PC CurrentSince Jun 1, 2017 Accepting new patients

Locations

111 Orient Ave
East Boston, MA 02128
Phone (617) 569-1200

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

19 Friendship St
Unit 150
Newport, RI 02840
Phone (401) 848-6042

821 Main Rd
Tiverton, RI 02878
Phone (401) 625-1001

Organizations & group practices 3

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053488213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 MIDDLE ST",
            "address_2": "ST. ANNE'S HOSPITAL - HUDNER ONCOLOGY",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211733",
            "telephone_number": "508-675-5688",
            "fax_number": "508-675-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 MIDDLE ST",
            "address_2": "ST. ANNE'S HOSPITAL - HUDNER ONCOLOGY",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211733",
            "telephone_number": "508-675-5688",
            "fax_number": "508-675-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "SUSAN",
        "middle_name": "P",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "136929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.