Individual provider Active NPI

Roberta O'Brien, FNP

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1316330889
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009282 Issued in KY
Practice address
3645 Stonecreek Blvd
Suite E
Cincinnati, OH 45251-1468
Phone
(513) 687-0500
Fax
(513) 598-1107
NPI assigned
Mar 9, 2015
Last updated
Mar 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3009282 KY Primary

Addresses

Primary practice location

3645 Stonecreek Blvd
Suite E
Cincinnati, OH 45251-1468

Mailing address

3645 Stonecreek Blvd
Suite E
Cincinnati, OH 45251-1468
Phone (513) 687-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150401001800 KY Practitioner - Nurse Practitioner 4385961382 Reassigns benefits to 1 organization
I20150408000264 OH Practitioner - Nurse Practitioner 4385961382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nautilus Health Care Group PLCGroup PAC ID 4183868052, 9 clinicians
Healogics Specialty Physicians of Ohio, LLCGroup PAC ID 1759607229, 9 clinicians

Practice addresses (Care Compare)

353 Bogle St
Somerset, KY 42503-2888
Phone (606) 451-3820

375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 865-5050

85 N Grand Ave
Fort Thomas, KY 41075-1793
Phone (859) 572-3880

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3009282KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Ohio, LLC CurrentSince May 25, 2016 Accepting new patients
Nautilus Health Care Group, PLC CurrentSince May 18, 2016 Accepting new patients
Nautilus Health Care Group LLC Past Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100

353 Bogle St
Somerset, KY 42503
Phone (606) 451-3820

3219 Clifton Ave
Cincinnati, OH 45220
Phone (513) 559-9411

3219 Clifton Ave
Ste 110
Cincinnati, OH 45220
Phone (513) 618-3300

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

1010 Cereal Ave
Hamilton, OH 45013
Phone (513) 281-8827

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1316330889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 STONECREEK BLVD",
            "address_2": "SUITE E",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511468",
            "telephone_number": "513-687-0500",
            "fax_number": "513-598-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 STONECREEK BLVD",
            "address_2": "SUITE E",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511468",
            "telephone_number": "513-687-0500",
            "fax_number": "513-598-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "ROBERTA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.