KATELYN PETICCA O'BRIEN RN, MSN, FNP-BC
NPI 1396301685
Nurse Practitioner - Family in Waterford, MI

Q: 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.

Q: What is Katelyn O'brien's specialty?

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

Q: 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.

Active since May 13, 2019PECOS Enrolled

3525 KAREN PKWY APT 204, WATERFORD, MI 48328(248) 568-0692 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2024, May 13, 2019 (2 updates tracked since 2019).

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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

NPI1396301685

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATELYN PETICCA O'BRIENCredential: RN, MSN, FNP-BC

Location Address3525 KAREN PKWY APT 204Waterford, MI 48328-4609

Mailing Address3525 Karen Pkwy Apt 204Waterford, MI 48328-4609 · (248) 568-0692

Phone(248) 568-0692

Sole ProprietorNo

Enumeration DateMay 13, 2019

Last NPPES UpdateJuly 30, 20242 updates tracked since enumeration

NPPES CertifiedJuly 30, 2024

✔ NPI 1396301685 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 MI · 4704300190

3525 KAREN PKWY APT 204, Waterford, MI 48328

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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 (PECOS)

Katelyn Peticca O'brien Rn, Msn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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 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.

What insurance does Katelyn O'brien accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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.