1. Home
  2. Directory
  3. Pennsylvania
  4. Beaver
  5. Nurse Practitioner
  6. NPI Profile

MICHAEL P O'BRIEN CRNP
NPI 1295082725
Nurse Practitioner - Family in Beaver, PA

Active since August 15, 2012PECOS EnrolledAccepts Medicare Assignment
93 BOUNDRY LN, BEAVER, PA 15009(724) 728-8300(724) 770-7934 Get Directions Write a Review

NPPES record last updated: April 3, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael P O'brien Crnp NPPES

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

MICHAEL P O'BRIEN CRNP (NPI 1295082725) is an individual family provider in Beaver, Pennsylvania, licensed in Pennsylvania (SP012388) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Heritage Valley Beaver, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1295082725
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL P O'BRIENCredential: CRNP
Location Address93 BOUNDRY LNBeaver, PA 15009-2949
Mailing Address93 Boundry LnBeaver, PA 15009-2949 · (724) 728-8300 · Fax (724) 770-7934
Phone(724) 728-8300
Fax(724) 770-7934
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 15, 2012
Last NPPES UpdateApril 3, 2017
✔ NPI 1295082725 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 PA · SP012388✔ Licensed in PA · RN582042
93 BOUNDRY LN, Beaver, PA 15009
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN256866PA
Medicaid102956830PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Michael P O'brien Crnp 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 ID3577714963
PECOS Enrollment IDI20121112000581
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 Reassignments

4

Medicare enrollment records show Michael O'brien reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Heritage Valley Multispecialty Group, Inc.
0.5 mi
Internal Medicine
500 SHARON RD
Beaver, PA 15009
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 217 clinicians in this Medicare group
NPI 1528015401 (724) 728-8751
Valley Medical Facilities Inc
12 mi
General Acute Care Hospital
720 BLACKBURN RD, ADMINISTRATION
Sewickley, PA 15143
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 70 clinicians in this Medicare group
NPI 1588770416 (724) 773-2014
Personal Care Medical Associates LLC
18 mi
Hospice and Palliative Medicine
2000 CLIFFMINE RD STE 500
Pittsburgh, PA 15275
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 96 clinicians in this Medicare group
NPI 1922427962 (878) 201-3312
Snf Specialty Services
228 mi
Endocrinology, Diabetes & Metabolism
2395 LANCASTER PIKE FL 1, PMB # 9698
Reading, PA 19607
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 72 clinicians in this Medicare group
NPI 1891557609 (570) 561-2990

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 7

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
444 services90 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
139 services46 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
72 services24 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
38 services26 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
31 services23 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
29 services25 patients

Hospital Affiliations CMS Care Compare

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

Heritage Valley Beaver

Acute Care Hospitals · Beaver, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390036
Location1000 Dutch Ridge RoadBeaver, PA 15009 · Beaver County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15009 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 11

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

DR. PAUL A PUPI M.D.
Surgery
93 BOUNDRY LN
BEAVER, PA 15009
Beaver County (724) 728-8300
DR. WADE D BERGER D.O.
Surgery
93 BOUNDRY LN
BEAVER, PA 15009
Beaver County (724) 773-6400
ERIC BOYLE M.D.
Surgery
93 BOUNDRY LN
BEAVER, PA 15009
Beaver County (724) 843-8300
DR. KYUNG K INCORVATI M.D.
Surgery
93 BOUNDRY LN
BEAVER, PA 15009
Beaver County (724) 843-3800
HERITAGE VALLEY MEDICAL GROUP, INC.
Surgery
93 BOUNDRY LN
BEAVER, PA 15009
Beaver County (724) 728-8300
SHERI MORRIS M.D.
Specialist
93 BOUNDRY LN
BEAVER, PA 15009
Beaver County (724) 728-8300
STEPHEN C BELICH MD
Surgery
93 BOUNDRY LN
BEAVER, PA 15009
Beaver County (724) 728-8300
TRISTATE SURGICAL ASSOCIATES
Surgery
93 BOUNDRY LN
BEAVER, PA 15009
Beaver County (724) 728-8300

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 Michael O'brien's NPI number?

The NPI number for Michael O'brien is 1295082725. It was assigned to this individual provider in the NPPES registry on August 15, 2012.

Where is Michael O'brien located?

Michael O'brien practices at 93 Boundry Ln, Beaver, PA 15009. The listed phone number is (724) 728-8300.

What is Michael O'brien's specialty?

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

Is Michael O'brien enrolled in Medicare?

Yes. Michael 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 Michael O'brien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael O'brien reassigns Medicare benefits to 4 organizations: Heritage Valley Multispecialty Group, Inc. (Beaver, PA), Valley Medical Facilities Inc (Sewickley, PA), Personal Care Medical Associates LLC (Pittsburgh, PA) and Snf Specialty Services (Reading, PA). 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 Michael O'brien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael O'brien accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michael 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.

Is Michael O'brien affiliated with any hospitals?

According to CMS data, Michael O'brien is affiliated with Heritage Valley Beaver.

When was this NPI record last updated?

The NPPES record for Michael O'brien was last updated on April 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.