Individual provider Active NPI

Maryanne O'Brien, NP

  • Women's Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1851185789
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
71016378A Issued in IN
Practice address
9333 N Meridian St Ste 110
Indianapolis, IN 46260-1814
Phone
(317) 669-0820
Fax
(855) 618-2432
NPI assigned
Apr 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 71016378A IN Primary

Addresses

Primary practice location

9333 N Meridian St Ste 110
Indianapolis, IN 46260-1814

Mailing address

9333 N Meridian St Ste 110
Indianapolis, IN 46260-1814
Phone (317) 669-0820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 23, 2025 through May 23, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71016378AINMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1851185789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9333 N MERIDIAN ST STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601814",
            "telephone_number": "317-669-0820",
            "fax_number": "855-618-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 N MERIDIAN ST STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601814",
            "telephone_number": "317-669-0820",
            "fax_number": "855-618-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MARYANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "71016378A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.