KATELYN PETICCA O'BRIEN RN, MSN, FNP-BC
NPI 1396301685
Nurse Practitioner - Family in Waterford, MI
About Katelyn Peticca O'brien Rn, Msn, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATELYN PETICCA O'BRIEN RN, MSN, FNP-BC (NPI 1396301685) is an individual family provider in Waterford, Michigan, licensed in Michigan (4704300190) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katelyn Peticca O'brien Rn, Msn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Katelyn O'brien reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waterford, MI 48328
- Reassigned Medicare billing, Michigan enrollment
- 90 clinicians in this Medicare group
Royal Oak, MI 48073
- Reassigned Medicare billing, Michigan enrollment
- 68 clinicians in this Medicare group
Oxford, MI 48371
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Oxford Urgent Care Plc
- 81 clinicians in this Medicare group
Clinton Township, MI 48038
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Lakeside Urgent Care PC
- 81 clinicians in this Medicare group
Burr Ridge, IL 60527
- Reassigned Medicare billing, Michigan enrollment
- 93 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48328 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Katelyn O'brien's NPI number?
The NPI number for Katelyn O'brien is 1396301685. It was assigned to this individual provider in the NPPES registry on May 13, 2019.
Where is Katelyn O'brien located?
Katelyn O'brien practices at 3525 Karen Pkwy Apt 204, Waterford, MI 48328. The listed phone number is (248) 568-0692.
What is Katelyn O'brien's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Katelyn O'brien enrolled in Medicare?
Yes. Katelyn O'brien is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Katelyn O'brien's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn O'brien reassigns Medicare benefits to 5 organizations: Elizabeth Lake Urgent Care PLLC (Waterford, MI), Royal Urgent Care, PLLC (Royal Oak, MI), Oxford Urgent Care P L C (Oxford, MI), Lakeside Urgent Care, P.C. (Clinton Township, MI) and Metro Infectious Disease Consultants, LLC (Burr Ridge, IL). 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 Katelyn O'brien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katelyn O'brien accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Katelyn 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 Katelyn O'brien was last updated on July 30, 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.
# Katelyn Peticca O'brien, RN, MSN, FNP-BC · NPI 1396301685
Family physician in Waterford, Michigan. Individual provider, active in the CMS NPPES registry since May 13, 2019.
## Identity
- **NPI:** 1396301685 (Entity type: Individual)
- **Enumerated:** May 13, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704300190 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3525 KAREN PKWY APT 204, Waterford, MI 48328-4609
- **Phone:** (248) 568-0692
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Elizabeth Lake Urgent Care PLLC (NPI 1538585260, Waterford, MI); Royal Urgent Care, PLLC (NPI 1952833196, Royal Oak, MI); Oxford Urgent Care P L C (NPI 1700036936, Oxford, MI); Lakeside Urgent Care, P.C. (NPI 1811226442, Clinton Township, MI); Metro Infectious Disease Consultants, LLC (NPI 1235125717, Burr Ridge, IL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1396301685) · Data from the CMS NPPES public registry.