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ROBERTA O'BRIEN FNP
NPI 1316330889
Nurse Practitioner - Family in Cincinnati, OH

Active since March 09, 2015PECOS EnrolledAccepts Medicare Assignment
66.3/100
CMS Quality Rating
3645 STONECREEK BLVD, SUITE E, CINCINNATI, OH 45251(513) 687-0500(513) 598-1107 Get Directions Write a Review

NPPES record last updated: March 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Roberta O'brien Fnp NPPES

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

ROBERTA O'BRIEN FNP (NPI 1316330889) is an individual family provider in Cincinnati, Ohio, licensed in Kentucky (3009282) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Florence, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1316330889
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameROBERTA O'BRIENCredential: FNP
Location Address3645 STONECREEK BLVD, SUITE ECincinnati, OH 45251-1468
Mailing Address3645 Stonecreek Blvd, Suite ECincinnati, OH 45251-1468 · (513) 687-0500 · Fax (513) 598-1107
Phone(513) 687-0500
Fax(513) 598-1107
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 9, 2015
✔ NPI 1316330889 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
License✔ Licensed in KY · 3009282
3645 STONECREEK BLVD, Cincinnati, OH 45251
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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

Roberta O'brien Fnp 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 ID4385961382
PECOS Enrollment IDI20150401001800, I20150408000264
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.

Areas of Expertise CMS Part B claims 9

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.
953 services134 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.
889 services177 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
257 services181 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
217 services144 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
133 services38 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
111 services35 patients

Hospital Affiliations CMS Care Compare

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

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45251 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

66.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality33.33
Improvement Activities40
Cost43.23

Reported Quality Measures

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%79 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
0%5,346 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%525 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
0%622 patients1/55-star benchmark: 98%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 534 patients
Patients totalRate: 0% · 534 patients
0%534 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

CINCY SLEEP AND NEUROLOGY CENTERS PLLC
Psychiatry & Neurology (Neurology)
3645 STONECREEK BLVD, SUITE E
CINCINNATI, OH 45251
Hamilton County (513) 377-7860
MARAM KHABBAZ MD
Family Medicine
3645 STONECREEK BLVD
CINCINNATI, OH 45251
Hamilton County (513) 687-0500
COLERAIN URGENT CARE LLC
Clinic/Center (Urgent Care)
3645 STONECREEK BLVD, SUITE D
CINCINNATI, OH 45251
Hamilton County (513) 377-7860

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 Roberta O'brien's NPI number?

The NPI number for Roberta O'brien is 1316330889. It was assigned to this individual provider in the NPPES registry on March 9, 2015.

Where is Roberta O'brien located?

Roberta O'brien practices at 3645 Stonecreek Blvd Suite E, Cincinnati, OH 45251. The listed phone number is (513) 687-0500.

What is Roberta O'brien's specialty?

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

Is Roberta O'brien enrolled in Medicare?

Yes. Roberta 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.

What insurance does Roberta O'brien accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 1 other insurer list Roberta 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 Roberta O'brien affiliated with any hospitals?

According to CMS data, Roberta O'brien is affiliated with St Elizabeth Florence.

When was this NPI record last updated?

The NPPES record for Roberta O'brien was last updated on March 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.