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

Q: 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.

Q: What is Russell O'brien's specialty?

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

Q: 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 20 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.

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: August 09, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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 5

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

LAO MEDICAL INC

Family Medicine