Individual provider Active NPI

Samantha O'Brien

  • Family Nurse Practitioner
  • Skowhegan, ME
National Provider Identifier
1689393571
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP221459 Issued in ME
Practice address
62 Main St
Skowhegan, ME 04976-1198
Phone
(207) 858-4844
Fax
(207) 858-0348
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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 CNP221459 ME Primary

Addresses

Primary practice location

62 Main St
Skowhegan, ME 04976-1198

Mailing address

PO Box 468
Skowhegan, ME 04976-0468
Phone (207) 858-4844

Other practice location 1

8 Main St Ste A
Newport, ME 04953-4158
Phone (207) 368-4292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20221024001430 ME Practitioner - Nurse Practitioner 0446626048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.98 of 100Reported as group
Quality
74.88
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP221459MEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Redington-Fairview General Hospital CurrentSince Sep 23, 2024 Accepting new patients
Redington-Fairview General Hospital CurrentSince Sep 23, 2024 Accepting new patients

Locations

46 Fairview Ave
Skowhegan, ME 04976
Phone 2074745121293

62 Main St
Skowhegan, ME 04976
Phone (207) 858-4844

Interoperability endpoints

  • Direct secure messaging: samantha.obrien@spc.direct.rfgh.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1689393571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049760468",
            "telephone_number": "207-858-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 MAIN ST",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761198",
            "telephone_number": "207-858-4844",
            "fax_number": "207-858-0348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "ME",
            "postal_code": "049534158",
            "country_code": "US",
            "telephone_number": "207-368-4292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "CNP221459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skowhegan, ME

Sources for this page

Verify at the official NPI Registry.