Amber Obrien
Individual provider Active NPI Medical Physician Assistant · Williamsport, PA
NPI 1063672152 · NPPES record last updated Jun 15, 2021
Key facts
- NPI
- 1063672152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- MA053729 (PA)
- Practice address
- 700 High St
Williamsport, PA 17701-3100 - Phone
- (570) 321-2850
- NPI assigned
- Jun 11, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Susquehanna Physician Services
Practice addresses (Care Compare)
700 High St
Williamsport, PA 17701-3100
Phone (570) 321-2000
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.06 of 100
- Quality
- 62.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090203000165 | PA | Practitioner - Physician Assistant | 7113081373 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susquehanna Physician Services | Current |
Accepting new patients | |
| Susquehanna Physician Services | Current |
Accepting new patients | |
| Jersey Shore Hospital Foundation, Inc | Past | Accepting new patients |
Locations
1020 Thompson St
Jersey Shore, PA 17740
Phone (570) 398-0100
700 High St
Williamsport, PA 17701
Phone (570) 321-1000
1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723
1201 Grampian Blvd
Ste 1K
Williamsport, PA 17701
Interoperability endpoints
- aobrien188732@upmc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA053729 | PA | Yes |
Addresses
Primary practice location
700 High St
Williamsport, PA 17701-3100
Mailing address
1201 Grampian Blvd
Williamsport, PA 17701-1900
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | upmchospitals@upmcdirect.com | UPMC |
Other providers in Williamsport, PA
- Natalie Kay Nyman
- Patrick O'Brien
- Sean O'Brien
- Tia Gialuong O'Brien
- Wanda Louise O'Neill
- Mark Odorizzi
- Diana Ohl
- Old Lycoming Township Volunteer Fire Co
- Sharad Oli
- Stuart Olinsky
All providers in Williamsport, PA · Medical Physician Assistant in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.