SHENICKA O'BRIEN NP
NPI 1215691217
Nurse Practitioner - Family in Port Deposit, MD
About Shenicka O'brien Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHENICKA O'BRIEN NP (NPI 1215691217) is an individual family provider in Port Deposit, Maryland, licensed in Maryland (R235172) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Northwest Hospital Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Shenicka O'brien Np 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 Shenicka O'brien reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21239
- Reassigned Medicare billing, Maryland enrollment
Baltimore, MD 21212
- Reassigned Medicare billing, Maryland enrollment
- 9 clinicians in this Medicare group
Baltimore, MD 21202
- Reassigned Medicare billing, Maryland enrollment
- 339 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northwest Hospital Center
Acute Care Hospitals · Randallstown, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shenicka O'brien's NPI number?
The NPI number for Shenicka O'brien is 1215691217. It was assigned to this individual provider in the NPPES registry on October 26, 2021.
Where is Shenicka O'brien located?
Shenicka O'brien practices at 20 Craigtown Rd, Port Deposit, MD 21904. The listed phone number is (410) 642-9472.
What is Shenicka O'brien's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shenicka O'brien enrolled in Medicare?
Yes. Shenicka 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 Shenicka O'brien's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shenicka O'brien reassigns Medicare benefits to 3 organizations: Buzzybee Pediatrics And Family Care, LLC (Baltimore, MD), Transformation Healthcare Inc. (Baltimore, MD) and Privia Care Center LLC (Baltimore, MD). 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 Shenicka O'brien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Shenicka O'brien affiliated with any hospitals?
According to CMS data, Shenicka O'brien is affiliated with Northwest Hospital Center.
When was this NPI record last updated?
The NPPES record for Shenicka O'brien was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Shenicka O'brien, NP · NPI 1215691217
Family physician in Port Deposit, Maryland. Individual provider, active in the CMS NPPES registry since October 26, 2021.
## Identity
- **NPI:** 1215691217 (Entity type: Individual)
- **Enumerated:** October 26, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R235172 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 20 CRAIGTOWN RD, Port Deposit, MD 21904-1801
- **Phone:** (410) 642-9472
## 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): Buzzybee Pediatrics And Family Care, LLC (NPI 1669325536, Baltimore, MD); Transformation Healthcare Inc. (NPI 1063017234, Baltimore, MD); Privia Care Center LLC (NPI 1730664012, Baltimore, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** May 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1215691217) · Data from the CMS NPPES public registry.