Individual provider Active NPI

Mary Patricia Obrien, RPA-C

  • Physician Assistant
  • Depew, NY
National Provider Identifier
1699969295
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
005470-1 Issued in NY
Practice address
6199 Transit Rd
Depew, NY 14043-1024
Phone
(716) 206-0390
Fax
(716) 206-0394
NPI assigned
Aug 28, 2007
Last updated
Aug 28, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 005470-1 NY Primary

Addresses

Primary practice location

6199 Transit Rd
Depew, NY 14043-1024

Mailing address

6199 Transit Rd
Depew, NY 14043-1024
Phone (716) 206-0390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050114000318 NY Practitioner - Physician Assistant 7517916737 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St James HospitalGroup PAC ID 0345154480, 130 clinicians

Practice addresses (Care Compare)

7309 Seneca Rd N
Hornell, NY 14843-9691

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.2 of 100Reported as group
Quality
60.03
Promoting interoperability
99
Improvement activities
40
Cost
73.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
005470-1NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
St James Hospital CurrentSince Dec 1, 2019 Accepting new patients
Western New York Immediate Medical Care LLC CurrentSince Apr 24, 2011 Accepting new patients
Western New York Immediate Medical Care LLC CurrentSince Apr 24, 2011 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Sep 1, 2018 Accepting new patients
Cuba Memorial Hospital Inc CurrentSince Dec 3, 2017 Accepting new patients

Locations

2099 Niagara Falls Blvd
Amherst, NY 14228
Phone (716) 204-2273

140 W Main St
Cuba, NY 14727
Phone (585) 968-2000

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200

7616 Transit Rd
Williamsville, NY 14221
Phone (716) 204-2273

Interoperability endpoints

  • Direct secure messaging: mobrien194705@direct.urmc.rochester.edu

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1699969295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6199 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431024",
            "telephone_number": "716-206-0390",
            "fax_number": "716-206-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6199 TRANSIT RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140431024",
            "telephone_number": "716-206-0390",
            "fax_number": "716-206-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRIEN",
        "first_name": "MARY",
        "middle_name": "PATRICIA",
        "name_prefix": "Miss",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "005470-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

Verify at the official NPI Registry.