Active NPI
Danielle A O'Brien, APRN
- Nurse Practitioner
- Jacksonville Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN11004908
- Practice address
- 1370 13TH Ave S Ste 215
Jacksonville Beach, FL 32250-3206 - Phone
- (904) 249-1041
- Fax
- (904) 249-9764
- NPI assigned
- Jul 31, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 305796 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | F305796-1 | NY | |
| Nurse Practitioner | 363L00000X | APRN11004908 | FL | Primary |
Addresses
Primary practice location
1370 13TH Ave S Ste 215
Jacksonville Beach, FL 32250-3206
Mailing address
PO Box 746649
Atlanta, GA 30374-6649
Phone (904) 202-2092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131016001021 | NY | Practitioner - Nurse Practitioner | 0941434492 | Reassigns benefits to 2 organizations |
| I20241216004051 | FL | Practitioner - Nurse Practitioner | 0941434492 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Baptist Neurology Inc
Practice addresses (Care Compare)
1370 13TH Ave S
Suite 215
Jacksonville Beach, FL 32250-3230
Phone (904) 249-1041
Hospital & facility affiliations
- Baptist Medical Center Beaches
- Baptist Health Medical Center - Jacksonville
- Brooks Rehabilitation Hospital University Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11004908 | FL | MD | Nurse Practitioner |
| 305796 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| Baptist Neurology Inc | Current | Accepting new patients | |
| New York University | Current | Accepting new patients |
Locations
1370 13th Ave S
Ste 215
Jax Bch, FL 32250
Phone (904) 249-1041
712 Main St
Islip, NY 11751
Phone (631) 666-3939
77 Route 112
Patchogue, NY 11772
Phone (631) 207-2370
13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
877 E Main St
Ste 106
Riverhead, NY 11901
Phone (631) 727-0660
1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012
Interoperability endpoints
- dobrien250934@baptisthealthsystemjacksonville.direct-ci.com
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 and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
Hospital
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1376114413
Inpatient rehabilitation facility
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1912947748
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1659627495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746649",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746649",
"telephone_number": "904-202-2092",
"fax_number": "904-376-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 13TH AVE S STE 215",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322503206",
"telephone_number": "904-249-1041",
"fax_number": "904-249-9764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "DANIELLE",
"middle_name": "A",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-31",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "305796",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F305796-1",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11004908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.