KATELYNN SUZANNE OBRIEN
NPI 1487293031
Physician Assistant in Philadelphia, PA

Q: What is Katelynn Obrien's NPI number?

The NPI number for Katelynn Obrien is 1487293031. It was assigned to this individual provider in the NPPES registry on December 31, 2019.

Q: What is Katelynn Obrien's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Katelynn Obrien was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 December 31, 2019PECOS EnrolledAccepts Medicare Assignment

4190 CITY AVE, PHILADELPHIA, PA 19131(215) 871-6763 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 2, 2021, Dec 31, 2019 (2 updates tracked since 2019).

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About Katelynn Suzanne Obrien NPPES

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

KATELYNN SUZANNE OBRIEN (NPI 1487293031) is an individual physician assistant in Philadelphia, Pennsylvania, licensed in New Jersey (25MP00589500) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cherry Hill, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1487293031

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKATELYNN SUZANNE OBRIEN

Location Address4190 CITY AVEPhiladelphia, PA 19131-1626

Mailing Address457 Haddonfield Rd Ste 110Cherry Hill, NJ 08002-2223 · (844) 542-2273

Phone(215) 871-6763

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 31, 2019

Last NPPES UpdateFebruary 2, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2021

✔ NPI 1487293031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NJ · 25MP00589500

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4190 CITY AVE, Philadelphia, PA 19131

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Secondary Practice Location 1

Location 1457 Haddonfield Rd Ste 110Cherry Hill, NJ 08002-2223 · Phone (844) 542-2273

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Katelynn Suzanne Obrien 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 ID2769898816

PECOS Enrollment IDI20231002003056

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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

38 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19131 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ZEEL HEMANTBHAI PATEL M.B.B.S

Student in an Organized Health Care Education/Training Program