Individual provider Active NPI

Kandi O'Brien, APRN

  • Family Nurse Practitioner
  • West Haven, CT
National Provider Identifier
1609036276
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
003877 Issued in CT
Practice address
687 Campbell Ave
West Haven, CT 06516-3774
Phone
(203) 932-6481
Fax
(203) 932-4051
NPI assigned
Jun 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 003877 CT
Family Nurse Practitioner 363LF0000X 003877 CT Primary

Addresses

Primary practice location

687 Campbell Ave
West Haven, CT 06516-3774

Mailing address

6 Northwestern Dr
Ste 201
Bloomfield, CT 06002-3463
Phone (860) 242-6297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, FL2 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
I20080929000117 CT Practitioner - Nurse Practitioner 8921175266 Reassigns benefits to 1 organization
I20210708000457 FL Practitioner - Nurse Practitioner 8921175266 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians
Hospital Medicine Services of FL, LLCGroup PAC ID 9234596743, 513 clinicians

Practice addresses (Care Compare)

700 Medical Blvd
Englewood, FL 34223-3964
Phone (941) 792-6611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.38 of 100Reported as group
Quality
87.5
Improvement activities
40
Cost
77.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003877CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Accountable Inpatient Medicine CurrentSince Jul 1, 2023 Accepting new patients
Millennium Physician Group LLC CurrentSince Jul 1, 2021 Accepting new patients
Alignmed Partners, PC CurrentSince May 6, 2018 Accepting new patients
Millennium Physician Group LLC CurrentSince Jul 1, 2021 Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince Sep 22, 2024 Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Sep 22, 2024 Accepting new patients
Prohealth Physicians PC Nurse Practitioner Past Accepting new patients
The Urgent Care Center of Connecticut, LLC Past Accepting new patients

Locations

850 Mix Ave
Hamden, CT 06514
Phone (203) 281-3500

6448 Main St
Trumbull, CT 06611
Phone (203) 268-6204

1253 Hartford Tpke
Vernon Rockville, CT 06066
Phone (860) 375-7315

1 Emerson Dr
Windsor, CT 06095
Phone (860) 688-6443

14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

700 Medical Blvd
Englewood, FL 34223
Phone (941) 473-5001

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

8130 Lakewood Main St
Ste 103
Lakewood Ranch, FL 34202
Phone (918) 289-7085

8433 Enterprise Cir
Ste 100
Lakewood Ranch, FL 34202
Phone (941) 499-2700

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

1660 Easton Rd
Warrington, PA 18976
Phone (215) 345-3205

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 8

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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1609036276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 NORTHWESTERN DR",
            "address_2": "STE 201",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023463",
            "telephone_number": "860-242-6297",
            "fax_number": "860-243-2371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 CAMPBELL AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163774",
            "telephone_number": "203-932-6481",
            "fax_number": "203-932-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "KANDI",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "003877",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "003877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

Verify at the official NPI Registry.