KELLY JEAN O'BRIEN APRN
NPI 1114302569
Nurse Practitioner - Acute Care in Hartford, CT
About Kelly Jean O'brien Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY JEAN O'BRIEN APRN (NPI 1114302569) is an individual acute care provider in Hartford, Connecticut, licensed in Connecticut (000000) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly Jean O'brien Aprn 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kelly O'brien reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hartford, CT 06102
- Reassigned Medicare billing, Connecticut enrollment
- Also billed through NPI 1770696643 (Connecticut)
- 1,333 clinicians in this Medicare group
Wethersfield, CT 06109
- Reassigned Medicare billing, Connecticut enrollment
- 747 clinicians in this Medicare group
New Britain, CT 06052
- Reassigned Medicare billing, Connecticut enrollment
- 745 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
HARTFORD, CT 06102
HARTFORD, CT 06102
HARTFORD, CT 06102
HARTFORD, CT 06102
HARTFORD, CT 06102
HARTFORD, CT 06102
HARTFORD, CT 06102
HARTFORD, CT 06102
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 Kelly O'brien's NPI number?
The NPI number for Kelly O'brien is 1114302569. It was assigned to this individual provider in the NPPES registry on July 28, 2015.
Where is Kelly O'brien located?
Kelly O'brien practices at 80 Seymour Street Hartford Hospital Surgery Dept, Hartford, CT 06102. The listed phone number is (860) 972-4670.
What is Kelly O'brien's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kelly O'brien enrolled in Medicare?
Yes. Kelly 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.
Which organizations bill Medicare for Kelly O'brien's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly O'brien reassigns Medicare benefits to 3 organizations: Hartford Hospital (Hartford, CT), Hartford Healthcare Medical Group, Inc (Wethersfield, CT) and The Hospital Of Central Connecticut At New Britain General And Bradley (New Britain, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly O'brien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly O'brien accept?
Health plans from Anthem Blue Cross and Blue Shield list Kelly O'brien as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kelly O'brien was last updated on July 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kelly Jean O'brien, APRN · NPI 1114302569
Acute Care physician in Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since July 28, 2015.
## Identity
- **NPI:** 1114302569 (Entity type: Individual)
- **Enumerated:** July 28, 2015
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 000000 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT, Hartford, CT 06102-5037
- **Phone:** (860) 972-4670
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Hartford Hospital (NPI 1407806391, Hartford, CT); Hartford Healthcare Medical Group, Inc (NPI 1043561301, Wethersfield, CT); The Hospital Of Central Connecticut At New Britain General And Bradley (NPI 1063461481, New Britain, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** July 28, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1114302569) · Data from the CMS NPPES public registry.