Active NPI
Kristin A O'Brien, PA-C
- Physician Assistant
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA003201L
- Practice address
- 2350 Freedom Way Ste 202
York, PA 17402-8202 - Phone
- (717) 851-2465
- Fax
- (717) 741-3043
- NPI assigned
- Dec 7, 2005
- Last updated
- Mar 17, 2018
- 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 | MA003201L | PA | Primary |
Addresses
Primary practice location
2350 Freedom Way Ste 202
York, PA 17402-8202
Mailing address
2350 Freedom Way Ste 202
York, PA 17402-8202
Phone (717) 851-2465
Other practice location 1
503 N 21st Street
Holy Spirit Hospital
Camp Hill, PA 17011
Phone (717) 972-4488
Other practice location 2
503 N 21st Street
Holy Spirit Hospital
Camp Hill, PA 17011
Phone (717) 972-4488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Physician Assistant
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 S George St
York, PA 17403-3676
1001 S George St 2ND Floor
Wellspan Pulmonary and Sleep Medicine
York, PA 17403-3676
Phone (717) 851-2465
25 Monument Rd
York, PA 17403-5073
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA003201L | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Urgent Care Center of Lancaster, LLC | Past | Accepting new patients |
Locations
1600 S George St
York, PA 17403
Phone (717) 848-3615
2350 Freedom Way
Ste 202
York, PA 17402
Phone (717) 851-1543
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
Interoperability endpoints
- kobrien139857@wellspan.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
dba WellSpan Interventional Radiology
- Vascular & Interventional Radiology Physician
- Lebanon, PA
- NPI 1831947126
-
- Urgent Care Clinic/Center
- Gap, PA
- NPI 1376799429
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
-
dba York Hospital Community Health Center
- Clinic/Center
- York, PA
- NPI 1497814040
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1295710788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 FREEDOM WAY STE 202",
"city": "YORK",
"state": "PA",
"postal_code": "174028202",
"telephone_number": "717-851-2465",
"fax_number": "717-741-3043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 FREEDOM WAY STE 202",
"city": "YORK",
"state": "PA",
"postal_code": "174028202",
"telephone_number": "717-851-2465",
"fax_number": "717-741-3043"
}
],
"practiceLocations": [
{
"address_1": "503 N 21st Street",
"address_2": "Holy Spirit Hospital",
"address_purpose": "LOCATION",
"city": "Camp Hill",
"state": "PA",
"postal_code": "17011",
"country_code": "US",
"telephone_number": "717-972-4488",
"fax_number": "717-972-7366",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "503 N 21st Street",
"address_2": "Holy Spirit Hospital",
"address_purpose": "LOCATION",
"city": "Camp Hill",
"state": "PA",
"postal_code": "17011",
"country_code": "US",
"telephone_number": "717-972-4488",
"fax_number": "717-972-7366",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'BRIEN",
"first_name": "KRISTIN",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-07",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA003201L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.