MR. KYLE B O'CONNOR CRNA, PMHNP-BC
NPI 1487189189
Nurse Practitioner - Psychiatric/Mental Health in Greenbelt, MD
About Mr. Kyle B O'connor Crna, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KYLE B O'CONNOR CRNA, PMHNP-BC (NPI 1487189189) is an individual psychiatric/mental health provider in Greenbelt, Maryland, licensed in Maryland (R228913) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
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
Mr. Kyle B O'connor Crna, 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.
Medicare Billing Reassignment
Medicare enrollment records show Kyle O'connor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Frederick, MD 21701
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 27 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 20770 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GREENBELT, MD 20770
GREENBELT, MD 20770
GREENBELT, MD 20770
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 Kyle O'connor's NPI number?
The NPI number for Kyle O'connor is 1487189189. It was assigned to this individual provider in the NPPES registry on May 1, 2017.
Where is Kyle O'connor located?
Kyle O'connor practices at 7474 Greenway Center Dr, Greenbelt, MD 20770. The listed phone number is (203) 209-7108.
What is Kyle O'connor's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kyle O'connor enrolled in Medicare?
Yes. Kyle O'connor 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 Kyle O'connor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle O'connor reassigns Medicare benefits to Advanced Behavioral Health, Inc (Frederick, MD). 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 Kyle O'connor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kyle O'connor was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. Kyle B O'connor, CRNA, PMHNP-BC · NPI 1487189189
Psychiatric/Mental Health physician in Greenbelt, Maryland. Individual provider, active in the CMS NPPES registry since May 1, 2017.
## Identity
- **NPI:** 1487189189 (Entity type: Individual)
- **Enumerated:** May 1, 2017
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R228913 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7474 GREENWAY CENTER DR, Greenbelt, MD 20770-3504
- **Phone:** (203) 209-7108
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Advanced Behavioral Health, Inc (NPI 1154799559, Frederick, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1487189189) · Data from the CMS NPPES public registry.