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SAMANTHA O'BRIEN PMHNP-BC
NPI 1336848035
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Active since March 01, 2023PECOS EnrolledAccepts Medicare Assignment
1202 W MONROE ST FL 1, CHICAGO, IL 60607(630) 517-2934 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 16, 2023, Mar 1, 2023 (2 updates tracked since 2023).

About Samantha O'brien Pmhnp-bc NPPES

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

SAMANTHA O'BRIEN PMHNP-BC (NPI 1336848035) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (209026845) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1336848035
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSAMANTHA O'BRIENCredential: PMHNP-BC
Location Address1202 W MONROE ST FL 1Chicago, IL 60607-2509
Mailing Address1202 W Monroe St Fl 1Chicago, IL 60607-2509 · (630) 517-2934 · Fax (833) 596-2335
Phone(630) 517-2934
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 1, 2023
Last NPPES UpdateAugust 16, 20232 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
✔ NPI 1336848035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209026845
1202 W MONROE ST FL 1, Chicago, IL 60607
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MercyCare Health Plans, Quartz.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

Samantha O'brien Pmhnp-bc 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 ID8022473339
PECOS Enrollment IDI20230420000514
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 Samantha O'brien reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rockford Psychiatric Medical Services, S.C.
76 mi
Psychiatry
1639 N ALPINE RD STE 260
Rockford, IL 61107
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rockford Psychiatric Medical Services Sc
  • 163 clinicians in this Medicare group
NPI 1821391442 (815) 395-1500

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 60607 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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 Samantha O'brien's NPI number?

The NPI number for Samantha O'brien is 1336848035. It was assigned to this individual provider in the NPPES registry on March 1, 2023.

Where is Samantha O'brien located?

Samantha O'brien practices at 1202 W Monroe St Fl 1, Chicago, IL 60607. The listed phone number is (630) 517-2934.

What is Samantha O'brien's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Samantha O'brien enrolled in Medicare?

Yes. Samantha 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 organization bills Medicare for Samantha O'brien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha O'brien reassigns Medicare benefits to Rockford Psychiatric Medical Services, S.C. (Rockford, IL). 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 Samantha O'brien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha O'brien accept?

Health plans from MercyCare Health Plans and Quartz list Samantha 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.

When was this NPI record last updated?

The NPPES record for Samantha O'brien was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.