Individual provider Active NPI

Kyle Patrick O'Brien, APRN

  • Gerontology Nurse Practitioner
  • Guilford, CT
National Provider Identifier
1639950744
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
12501 Issued in CT
Practice address
800 Boston Post Rd
Guilford, CT 06437-2747
Phone
(877) 925-3637
NPI assigned
Oct 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 12501 CT Primary

Addresses

Primary practice location

800 Boston Post Rd
Guilford, CT 06437-2747

Mailing address

56 Ames Rd
Amston, CT 06231-1602
Phone (860) 338-3307

Other practice location 1

40 Temple St
New Haven, CT 06510-2715
Phone (877) 925-3637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240110003830 CT Practitioner - Nurse Practitioner 1951752278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

40 Temple St
Suite 1a
New Haven, CT 06510-2715
Phone (203) 785-4138

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Dec 12, 2023 Accepting new patients
Yale University CurrentSince Dec 12, 2023 Accepting new patients

Locations

800 Boston Post Rd
Guilford, CT 06437
Phone (203) 453-7900

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

40 Temple St
Ste 1A1
New Haven, CT 06510
Phone (203) 785-5208

40 Temple St
New Haven, CT 06510
Phone (203) 785-2020

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

Interoperability endpoints

  • Direct secure messaging: kobrien639371@direct.ynhh.org

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.

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": "1697155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1639950744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 AMES RD",
            "city": "AMSTON",
            "state": "CT",
            "postal_code": "062311602",
            "telephone_number": "860-338-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BOSTON POST RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372747",
            "telephone_number": "877-925-3637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Temple St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065102715",
            "country_code": "US",
            "telephone_number": "877-925-3637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "KYLE",
        "middle_name": "PATRICK",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CT",
            "license": "12501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

Verify at the official NPI Registry.