Active NPI
Kelly Obrien, ACNP
- Acute Care Nurse Practitioner
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 68843
- Practice address
- 2129 Osuna Rd NE
Albuquerque, NM 87113-1002 - Phone
- (505) 898-2468
- NPI assigned
- Jul 6, 2022
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 68843 | NM | Primary |
Addresses
Primary practice location
2129 Osuna Rd NE
Albuquerque, NM 87113-1002
Mailing address
6329 Loftus Ave NE
Albuquerque, NM 87109-2717
Phone (505) 720-9564
Other practice location 1
700 High St NE
Albuquerque, NM 87102-2565
Phone (505) 242-4444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- 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
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1525 N Renaissance Blvd NE
Albuquerque, NM 87107-6827
Phone (575) 623-1303
2129 Osuna Rd NE
Suite C
Albuquerque, NM 87113-1002
Phone (505) 554-4080
Hospital & facility affiliations
- Ambercare Home Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68843 | NM | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| House Calls of New Mexico LLC | Current | Accepting new patients | |
| Elite Medical LLC | Current | Accepting new patients |
Locations
801 Warrenville Rd
Ste 800
Lisle, IL 60532
2129 Osuna Rd NE
Ste C
Albuquerque, NM 87113
Phone (505) 554-4080
1525 N Renaissance Blvd NE
Albuquerque, NM 87107
Phone (505) 243-3387
2129 Osuna Rd NE
Albuquerque, NM 87113
Phone (505) 244-0046
100 N Pennsylvania Ave
Roswell, NM 88203
Phone (575) 623-1303
6303 Cowboys Way
Ste 600
Frisco, TX 75034
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Roswell, NM
- NPI 1386993764
-
- Specialist
- Albuquerque, NM
- NPI 1194779322
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Belen, NM
- NPI 1336117621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1629701776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6329 LOFTUS AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871092717",
"telephone_number": "505-720-9564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2129 OSUNA RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871131002",
"telephone_number": "505-898-2468"
}
],
"practiceLocations": [
{
"address_1": "700 High St NE",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871022565",
"country_code": "US",
"telephone_number": "505-242-4444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OBRIEN",
"first_name": "KELLY",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-06",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NM",
"license": "68843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.