ROSALIE MARGARET O'BRIEN
NPI 1003535816
Nurse Practitioner - Family in Rochester, NY

Active since August 24, 2022PECOS EnrolledAccepts Medicare Assignment
88.67/100
CMS Quality Rating
4901 LAC DE VILLE BLVD, ROCHESTER, NY 14618(585) 275-5321(585) 320-1031 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 12, 2025, Jul 22, 2023, Aug 24, 2022 (3 updates tracked since 2022).

About Rosalie Margaret O'brien NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSALIE MARGARET O'BRIEN (NPI 1003535816) is an individual family provider in Rochester, New York, licensed in New York (733734) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with F F Thompson Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1003535816
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameROSALIE MARGARET O'BRIEN
Location Address4901 LAC DE VILLE BLVDRochester, NY 14618-5647
Mailing Address106 Suburban Ct Apt 8Rochester, NY 14620-3844 · (585) 474-3226
Fax(585) 320-1031
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 24, 2022
Last NPPES UpdateMarch 12, 20253 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
NPI 1003535816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in NY · 733734 Licensed in NY · 350542
4901 LAC DE VILLE BLVD, Rochester, NY 14618

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Rosalie Margaret O'brien is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981072774
PECOS Enrollment IDI20221129002168
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
76 services76 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services29 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

F F Thompson Hospital

Acute Care Hospitals · Canandaigua, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330074
Location350 Parrish StreetCanandaigua, NY 14424 · Ontario County
Emergency services Birthing friendly

St James Mercy Hospital

Acute Care Hospitals · Hornell, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330151
Location7329 Seneca Road NorthHornell, NY 14843 · Steuben County
Emergency services

Nicholas H Noyes Memorial Hospital

Acute Care Hospitals · Dansville, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330238
Location111 Clara Barton StreetDansville, NY 14437 · Livingston County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14618 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.97
Promoting Interoperability100
Improvement Activities40
Cost75.59

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation
4901 LAC DE VILLE BLVD, SUITE 250
ROCHESTER, NY 14618
Physician Assistant
4901 LAC DE VILLE BLVD
ROCHESTER, NY 14618
Radiology (Diagnostic Radiology)
4901 LAC DE VILLE BLVD, SUITE 140
ROCHESTER, NY 14618
Occupational Therapist
4901 LAC DE VILLE BLVD
ROCHESTER, NY 14618
Physical Therapist (Orthopedic)
4901 LAC DE VILLE BLVD
ROCHESTER, NY 14618
Radiology (Diagnostic Radiology)
4901 LAC DE VILLE BLVD, SUITE 140
ROCHESTER, NY 14618
Physician Assistant
4901 LAC DE VILLE BLVD
ROCHESTER, NY 14618
Nurse Practitioner (Family)
4901 LAC DE VILLE BLVD
ROCHESTER, NY 14618

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rosalie O'brien's NPI number?

The NPI number for Rosalie O'brien is 1003535816. It was assigned to this individual provider in the NPPES registry on August 24, 2022.

Where is Rosalie O'brien located?

Rosalie O'brien practices at 4901 Lac De Ville Blvd, Rochester, NY 14618. The listed phone number is (585) 275-5321.

What is Rosalie O'brien's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Rosalie O'brien enrolled in Medicare?

Yes. Rosalie O'brien is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Rosalie O'brien affiliated with any hospitals?

According to CMS data, Rosalie O'brien is affiliated with F F Thompson Hospital, St James Mercy Hospital, Nicholas H Noyes Memorial Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Rosalie O'brien was last updated on March 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.