NPIMap

Individual provider Active NPI

Michael P O'Brien, CRNP

  • Family Nurse Practitioner
  • Beaver, PA
National Provider Identifier
1295082725
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP012388 Issued in PA
Practice address
93 Boundry LN
Beaver, PA 15009-2949
Phone
(724) 728-8300
Fax
(724) 770-7934
NPI assigned
Aug 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN582042 PA
Family Nurse Practitioner 363LF0000X SP012388 PA Primary

Addresses

Primary practice location

93 Boundry LN
Beaver, PA 15009-2949

Mailing address

93 Boundry LN
Beaver, PA 15009-2949
Phone (724) 728-8300

Other identifiers 1

IdentifierTypeStateIssuer
102956830MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121112000581 PA Practitioner - Nurse Practitioner 3577714963 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Care Medical Associates, LLCGroup PAC ID 1456344084, 64 clinicians
SNF Specialty ServicesGroup PAC ID 3375989668, 56 clinicians

Practice addresses (Care Compare)

2000 Cliffmine Rd
Suite 500
Pittsburgh, PA 15275-1053
Phone (878) 201-3312

2395 Lancaster Pike
FL 1
Reading, PA 19607-2375
Phone (570) 561-2990

Hospital & facility affiliations

  • Gallagher Home Health Services Home health agency, Bridgeville, PA, CCN 398024
  • Advanced Home Health Home health agency, Pittsburgh, PA, CCN 397759
  • Heritage Valley Beaver Hospital, Beaver, PA, CCN 390036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN582042PAMDFamily Nurse Practitioner
SP012388PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Facilities Inc CurrentSince Apr 1, 2013 Accepting new patients
Valley Medical Facilities, Inc. CurrentSince Apr 1, 2013 Accepting new patients
Heritage Valley Multispecialty Group, Inc. CurrentSince Oct 1, 2012 Accepting new patients
Heritage Valley Multispecialty Group, Inc. Current Accepting new patients
Personal Care Medical Associates LLC CurrentSince Feb 1, 2023 Accepting new patients
Valley Medical Facilities Inc Past Accepting new patients

Locations

1030 Beaner Hollow Rd
Beaver, PA 15009
Phone (724) 774-0778

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

1000 Dutch Ridge Rd
Fl Third
Beaver, PA 15009
Phone (412) 299-8550

246 Friendship Cir
Beaver, PA 15009
Phone (724) 728-4320

2000 Cliffmine Rd
Ste 500
Pittsburgh, PA 15275
Phone (724) 766-0025

720 Blackburn Rd
Sewickley, PA 15143
Phone (412) 741-6600

93 Boundry Ln
West Bridgewater, PA 15009
Phone (724) 728-8300

Organizations & group practices 7

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 5

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": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1295082725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 BOUNDRY LN",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092949",
            "telephone_number": "724-728-8300",
            "fax_number": "724-770-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 BOUNDRY LN",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092949",
            "telephone_number": "724-728-8300",
            "fax_number": "724-770-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-15",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "RN582042",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102956830",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

Verify at the official NPI Registry.