KIMBERLY ANN OBRIEN PA-C
NPI 1164551289
Physician Assistant - Surgical in Tarboro, NC

Active since March 05, 2007PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
101 CLINIC DR, TARBORO, NC 27886(252) 823-4245 Get Directions Write a Review

NPPES record last updated: April 10, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly Ann Obrien Pa-c NPPES

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

KIMBERLY ANN OBRIEN PA-C (NPI 1164551289) is an individual surgical provider in Tarboro, North Carolina, licensed in North Carolina (197457) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Vidant Edgecombe Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1164551289
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKIMBERLY ANN OBRIENCredential: PA-C
Location Address101 CLINIC DRTarboro, NC 27886-1935
Mailing Address101 Clinic DrTarboro, NC 27886-1935 · (252) 823-4245
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 5, 2007
Last NPPES UpdateApril 10, 2014
NPI 1164551289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses Licensed in NC · 197457 Licensed in MD · C0003955
101 CLINIC DR, Tarboro, NC 27886

Other Identifiers 1

Medicare UPINQ35863

Accepted Insurance

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

Kimberly Ann Obrien Pa-c 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 ID8729030754
PECOS Enrollment IDI20140313002101
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.

Hospital Affiliations CMS Care Compare

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

Vidant Edgecombe Hospital

Acute Care Hospitals · Tarboro, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340107
Location111 Hospital DrTarboro, NC 27886 · Edgecombe County
Emergency services Birthing friendly

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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine
101 CLINIC DR
TARBORO, NC 27886
Urology
101 CLINIC DR
TARBORO, NC 27886
Family Medicine
101 CLINIC DR
TARBORO, NC 27886
Surgery
101 CLINIC DR
TARBORO, NC 27886
Nurse Practitioner
101 CLINIC DR
TARBORO, NC 27886
Pediatrics
101 CLINIC DR
TARBORO, NC 27886
Pharmacist
101 CLINIC DR
TARBORO, NC 27886
Internal Medicine
101 CLINIC DR
TARBORO, NC 27886

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 Kimberly Obrien's NPI number?

The NPI number for Kimberly Obrien is 1164551289. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Kimberly Obrien located?

Kimberly Obrien practices at 101 Clinic Dr, Tarboro, NC 27886. The listed phone number is (252) 823-4245.

What is Kimberly Obrien's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kimberly Obrien enrolled in Medicare?

Yes. Kimberly Obrien 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.

What insurance does Kimberly Obrien accept?

Health plans from Blue Cross and Blue Shield of NC list Kimberly Obrien 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.

Is Kimberly Obrien affiliated with any hospitals?

According to CMS data, Kimberly Obrien is affiliated with Vidant Edgecombe Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Obrien was last updated on April 10, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.