Jessica Nicole O'Brien, RPA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

005077 Issued in NY

Practice address

4350 Maple Rd
Amherst, NY 14226-1027

Phone

(716) 829-3316

Fax

(716) 829-2564

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

Specialty

Physician Assistant

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: jessica@wnyent.medentdirect.com

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.

• Southtowns Internal Medicine PC

  • Internal Medicine Physician
  • Orchard Park, NY
  • NPI 1356447270
  NPD (past)
• Thomas E. Degrave, DO,LLC

  • Family Medicine Physician
  • West Seneca, NY
  • NPI 1790816387
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1891826467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 MAPLE RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261027",
            "telephone_number": "716-829-3316",
            "fax_number": "716-829-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 MAPLE RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142261027",
            "telephone_number": "716-829-3316",
            "fax_number": "716-829-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "005077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "0021056603",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000570066007",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02345619",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9511995",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shahera A Noukla, MD
• Rachel Nowak, R.N.,C.L.C, C.P.S.T.
• Emmekunla K Nylander, MD
• Nys Dept Education Sweet Home Central School Dist 7
• Elizabeth Ann O Neill, M.D.
• Danielle O'Connell, OT
• Meghan O'Connor, FNP
• Michael Travis O'Leary, MD
• Stephanie Elizabeth O'Malley, PA
• Dale Letty O'Toole, MA,CCC,SLP/L

• Medical Physician Assistant in Amherst, NY
• Providers in Amherst, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.

Verify at the official NPI Registry.