Active NPI
Susan G O'Brien, WHNP
- Women's Health Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 341302
- Practice address
- 11209 N Tatum Blvd Ste 255
Phoenix, AZ 85028-6061 - Phone
- (602) 494-5050
- Fax
- (866) 777-2248
- NPI assigned
- Sep 18, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 341302 | AZ | Primary |
| Nurse Practitioner | 363L00000X | 209005704 | IL |
Addresses
Primary practice location
11209 N Tatum Blvd Ste 255
Phoenix, AZ 85028-6061
Mailing address
5801 Postal Road PO Box 81064
Belfast, ME 04915-0064
Other practice location 1
4530 N 32nd St Ste 255
Phoenix, AZ 85018-3357
Phone (602) 494-5050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2363 63Rd St
Woodridge, IL 60517-1369
Phone (630) 716-7510
396 Remington Blvd
Bolingbrook, IL 60440-4311
7503 W Cermak Rd
North Riverside, IL 60546-1405
Phone (708) 442-0333
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041322316 | IL | MD | Registered Nurse |
| 209005704 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Partners,Inc | Current | Accepting new patients | |
| Adventist Health Partners, Inc. | Current | Accepting new patients | |
| Adventist Health Partners, Inc | Current | Accepting new patients | |
| Camelback Womens Health, PC | Past | Accepting new patients | |
| Adventist Health Partners,Inc | Past | Accepting new patients | |
| Genesis OB GYN PLLC | Past | Accepting new patients |
Locations
396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301
1000 Remington Blvd
Ste 200
Bolingbrook, IL 60440
Phone (630) 312-7755
412 63rd St
Ste 103
Downers Grove, IL 60516
Phone (630) 719-5472
5207 Main St
Downers Grove, IL 60515
Phone (630) 435-9888
911 N Elm St
Ste 301
Hinsdale, IL 60521
Phone (630) 856-8650
7503 W Cermak Rd
Riverside, IL 60546
Phone (708) 442-0333
Interoperability endpoints
- https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/615/brand/1/csg/1/fhir/r4
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- La Grange, IL
- NPI 1932650496
-
dba Midwest Bone and Joint Specialists
- Orthopaedic Surgery Physician
- Bolingbrook, IL
- NPI 1225291008
-
dba Glendale Family Practice
- Family Medicine Physician
- Bloomingdale, IL
- NPI 1043255888
-
dba Camelback Women's Health
- Obstetrics & Gynecology Physician
- Phoenix, AZ
- NPI 1447378518
-
- Obstetrics & Gynecology Physician
- Tucson, AZ
- NPI 1992994214
-
dba Family Practice Associates
- Family Medicine Physician
- Hinsdale, IL
- NPI 1265475032
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Bolingbrook
- General Acute Care Hospital
- Bolingbrook, IL
- NPI 1164530465
-
- General Acute Care Hospital
- Hinsdale, IL
- NPI 1265465439
-
dba Adventhealth Hinsdale
- Psychiatric Hospital Unit
- Hinsdale, IL
- NPI 1447270780
-
dba Advocate Good Samaritan Hospital
- General Acute Care Hospital
- Downers Grove, IL
- NPI 1578670543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1225388176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 POSTAL ROAD PO BOX 81064",
"city": "BELFAST",
"state": "ME",
"postal_code": "049150064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11209 N TATUM BLVD STE 255",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850286061",
"telephone_number": "602-494-5050",
"fax_number": "866-777-2248"
}
],
"practiceLocations": [
{
"address_1": "4530 N 32nd St Ste 255",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850183357",
"country_code": "US",
"telephone_number": "602-494-5050",
"fax_number": "866-777-2248",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'BRIEN",
"first_name": "SUSAN",
"middle_name": "G",
"name_prefix": "Ms.",
"credential": "WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-18",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "AZ",
"license": "341302",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209005704",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.