KRISTINE H O'PHELAN MD
NPI 1427110501
Psychiatry & Neurology - Neurocritical Care in Miami, FL

Active since December 14, 2006PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
1120 NW 14TH ST, MIAMI, FL 33136(305) 243-6175 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 10, 2020, Aug 30, 2019 (2 updates tracked since 2019).

About Kristine H O'phelan Md NPPES

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

KRISTINE H O'PHELAN MD (NPI 1427110501) is an individual neurocritical care provider in Miami, Florida, licensed in Florida (ME102998) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Boston University School Of Medicine (1996).

NPPES Registry Identity

NPI1427110501
Entity TypeIndividualFemale
Primary Taxonomy2084A2900X
Provider Legal NameKRISTINE H O'PHELANCredential: MD
Location Address1120 NW 14TH STMiami, FL 33136
Mailing Address1120 Nw 14th StMiami, FL 33136-2107 · (305) 243-6175
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1996
Enumeration DateDecember 14, 2006
Last NPPES UpdateJanuary 24, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2025
NPI 1427110501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Neurocritical CareAllopathic & Osteopathic Physicians
Taxonomy Code2084A2900X
License Licensed in FL · ME102998
Definition

The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care of his or her patients in the ICU, both the neurological and medical management of the patient. They may also provide consultative services for these patients as requested within the health system.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License ME102998 (FL)
1120 NW 14TH ST, Miami, FL 33136

Accepted 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

Kristine H O'phelan Md 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 ID8123188083
PECOS Enrollment IDI20081121000363
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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
159 services54 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
48 services33 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Other Providers at the Same Location NPPES 20

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

Clinical Neuropsychologist
1120 NW 14TH ST, CLINICAL RESEARCH BUILDING, SUITE 954
MIAMI, FL 33136
Emergency Medicine
1120 NW 14TH ST, 1ST FLOOR
MIAMI, FL 33136
Allergy & Immunology
1120 NW 14TH ST, CRB, 5TH FLOOR
MIAMI, FL 33136
Surgery
1120 NW 14TH ST, 4TH FLOOR, DIVISION OF PLASTIC SURGERY
MIAMI, FL 33136
Internal Medicine (Allergy & Immunology)
1120 NW 14TH ST
MIAMI, FL 33136
Social Worker
1120 NW 14TH ST, 12TH FLOOR - ROOM 1209
MIAMI, FL 33136
Nurse Practitioner (Family)
1120 NW 14TH ST
MIAMI, FL 33136
Genetic Counselor, MS
1120 NW 14TH ST, CRB RM #1112
MIAMI, FL 33136

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 Kristine O'phelan's NPI number?

The NPI number for Kristine O'phelan is 1427110501. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Kristine O'phelan located?

Kristine O'phelan practices at 1120 NW 14th St, Miami, FL 33136. The listed phone number is (305) 243-6175.

What is Kristine O'phelan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurocritical Care, with taxonomy code 2084A2900X.

Is Kristine O'phelan enrolled in Medicare?

Yes. Kristine O'phelan 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 Kristine O'phelan accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Providence Health Plan list Kristine O'phelan 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 Kristine O'phelan affiliated with any hospitals?

According to CMS data, Kristine O'phelan is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Kristine O'phelan was last updated on January 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.