Individual provider Active NPI

Susan G O'Brien, WHNP

  • Women's Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1225388176
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
341302 Issued in AZ
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

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130221000366 IL Practitioner - Nurse Practitioner 8628223765 Reassigns benefits to 1 organization

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
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

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

LicenseStateTypeSpecialty
041322316ILMDRegistered Nurse
209005704ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners,Inc CurrentSince Dec 9, 2012 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
Adventist Health Partners, Inc CurrentSince Dec 9, 2012 Accepting new patients
Camelback Womens Health, PC PastSince Sep 15, 2000 Accepting new patients
Adventist Health Partners,Inc Past Accepting new patients
Genesis OB GYN PLLC PastSince Aug 17, 2023 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

  • FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
  • FHIR API: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.