Active NPI
Abbie Mae Obrien, PA
- Physician Assistant
- Independence, MO
National Provider Identifier
1083171292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2019003331
- Practice address
- 17525 Medical Center Pkwy
Independence, MO 64057-1824 - Phone
- (816) 994-3150
- Fax
- (816) 359-3044
- NPI assigned
- Feb 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2019003331 | MO | Primary |
Addresses
Primary practice location
17525 Medical Center Pkwy
Independence, MO 64057-1824
Mailing address
8551 Bluejacket St
Lenexa, KS 66214-1656
Phone (913) 981-1215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019003331 | MO | MD | Physician Assistant |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565308800000",
"number": "1083171292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8551 BLUEJACKET ST",
"city": "LENEXA",
"state": "KS",
"postal_code": "662141656",
"telephone_number": "913-981-1215",
"fax_number": "913-439-4823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17525 MEDICAL CENTER PKWY",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640571824",
"telephone_number": "816-994-3150",
"fax_number": "816-359-3044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBRIEN",
"first_name": "ABBIE",
"middle_name": "MAE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-24",
"last_updated": "2019-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2019003331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.