Individual provider Active NPI

Michael O'Brien, PA

  • Physician Assistant
  • Florence, MA
National Provider Identifier
1922625185
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA100930 Issued in MA
Practice address
70 Acrebrook Dr
Florence, MA 01062-3421
Phone
(413) 210-8823
NPI assigned
Jul 2, 2020
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA200001682 DC
Physician Assistant 363A00000X 031368 NY
Physician Assistant 363A00000X PA100930 MA Primary
Physician Assistant 363A00000X 085010117 IL
Physician Assistant 363A00000X 123128 IA
Physician Assistant 363A00000X 5601012132 MI
Physician Assistant 363A00000X 2023043567 MO
Physician Assistant 363A00000X C08887 MD
Physician Assistant 363A00000X 7143 CT
Physician Assistant 363A00000X PA58546 CA

Addresses

Primary practice location

70 Acrebrook Dr
Florence, MA 01062-3421

Mailing address

70 Acrebrook Dr
Florence, MA 01062-3421
Phone (413) 210-8823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MD, DC, MO, IA, NY, CT, MA8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20201022000896 CA Practitioner - Physician Assistant 5799105276 Reassigns benefits to 5 organizations
I20230816003317 MD Practitioner - Physician Assistant 5799105276 Reassigns benefits to 1 organization
I20230816003417 DC Practitioner - Physician Assistant 5799105276 Reassigns benefits to 1 organization
I20240207002279 MO Practitioner - Physician Assistant 5799105276 Reassigns benefits to 1 organization
I20240719002434 IA Practitioner - Physician Assistant 5799105276 Reassigns benefits to 1 organization
I20240916000233 NY Practitioner - Physician Assistant 5799105276 Reassigns benefits to 2 organizations
I20250618002328 CT Practitioner - Physician Assistant 5799105276 Reassigns benefits to 1 organization
I20250809000163 MA Practitioner - Physician Assistant 5799105276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

42084 State Hwy 28
Margaretville, NY 12455-2820
Phone (845) 586-2631

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7143CTMDGeneral Practice Dentistry
58546CAMDPharmacist
031368NYMDPhysical Therapist
PA58546CAMDPhysician Assistant
PA200001682DCMDPhysician Assistant
123128IAMDPhysician Assistant
085010117ILMDPhysician Assistant
PA100930MAMDPhysician Assistant
5601012132MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC CurrentSince Aug 1, 2023 Accepting new patients
Cep America-California CurrentSince Nov 1, 2020 Accepting new patients
Cep America - California CurrentSince Jul 12, 2021 Accepting new patients
Cep America LLC CurrentSince Aug 1, 2023 Accepting new patients
Cep America LLC CurrentSince Aug 1, 2023 Accepting new patients
Cep America LLC CurrentSince Jan 1, 2024 Accepting new patients
Cep America - California CurrentSince Nov 1, 2020 Accepting new patients
Vituity-Iowa PLLC CurrentSince Jun 1, 2024 Accepting new patients
Cep America LLC CurrentSince Jun 10, 2025 Accepting new patients
Cep America - California Past Accepting new patients

Locations

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785

1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

500 Medical Dr
Wentzville, MO 63385
Phone (636) 327-1000

Interoperability endpoints

  • Direct secure messaging: michael.o.brien.1@24997.direct.athenahealth.com
  • Direct secure messaging: mobrien4414723@direct.trinity-health.org

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 2

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": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1922625185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 ACREBROOK DR",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010623421",
            "telephone_number": "413-210-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 ACREBROOK DR",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010623421",
            "telephone_number": "413-210-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-02",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA200001682",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "031368",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA100930",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085010117",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "123128",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012132",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2023043567",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C08887",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "7143",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA58546",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, MA

Sources for this page

Verify at the official NPI Registry.