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RUSSELL O'BRIEN FNP
NPI 1174216295
Nurse Practitioner - Family in Burbank, CA

Active since June 02, 2023PECOS Enrolled
191 S BUENA VISTA ST STE 375, BURBANK, CA 91505(818) 729-0014 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 21, 2024, Jun 2, 2023 (2 updates tracked since 2023).

About Russell O'brien Fnp NPPES

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

RUSSELL O'BRIEN FNP (NPI 1174216295) is an individual family provider in Burbank, California, licensed in California (NP95022534) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1174216295
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameRUSSELL O'BRIENCredential: FNP
Location Address191 S BUENA VISTA ST STE 375Burbank, CA 91505-4558
Mailing Address14209 Riverside Dr Apt 202Sherman Oaks, CA 91423-2351 · (916) 825-1001
Phone(818) 729-0014
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 2, 2023
Last NPPES UpdateNovember 21, 20242 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
✔ NPI 1174216295 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 CA · NP95022534✔ Licensed in CA · F11220453
191 S BUENA VISTA ST STE 375, Burbank, CA 91505
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Russell O'brien Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325510159
PECOS Enrollment IDI20260612001809
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.

Medicare Billing Reassignment

Medicare enrollment records show Russell O'brien reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cedars-Sinai Medical Care Foundation
7.0 mi
Specialist
6500 WILSHIRE BLVD FL 15
Los Angeles, CA 90048
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1316984388 (310) 385-3200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91505 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 6

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

LAO MEDICAL INC
Family Medicine
191 S BUENA VISTA ST STE 375
BURBANK, CA 91505
Los Angeles County (818) 729-0014
K C MEDICAL GROUP INC
Clinic/Center (Primary Care)
191 S BUENA VISTA ST STE 375
BURBANK, CA 91505
Los Angeles County (818) 729-0014
MS. ANASTASIIA BERING
Nurse Practitioner (Family)
191 S BUENA VISTA ST STE 375
BURBANK, CA 91505
Los Angeles County (818) 729-0014
TREASA L DAVIS D.O.
Family Medicine
191 S BUENA VISTA ST STE 375
BURBANK, CA 91505
Los Angeles County (818) 729-0014
LAARNI N. DOMANTAY, MD, INC
Family Medicine
191 S BUENA VISTA ST STE 375
BURBANK, CA 91505
Los Angeles County (818) 729-0014
MS. CHRISTINE DEPRIEST NP-C
Nurse Practitioner (Family)
191 S BUENA VISTA ST STE 375
BURBANK, CA 91505
Los Angeles County (818) 729-0014

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 Russell O'brien's NPI number?

The NPI number for Russell O'brien is 1174216295. It was assigned to this individual provider in the NPPES registry on June 2, 2023.

Where is Russell O'brien located?

Russell O'brien practices at 191 S Buena Vista St Ste 375, Burbank, CA 91505. The listed phone number is (818) 729-0014.

What is Russell O'brien's specialty?

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

Is Russell O'brien enrolled in Medicare?

Yes. Russell O'brien is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Russell O'brien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Russell O'brien reassigns Medicare benefits to Cedars-Sinai Medical Care Foundation (Los Angeles, CA). The 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 Russell O'brien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Russell O'brien was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.