KELLY ANNE O'BRIEN PA-C
NPI 1558731638
Physician Assistant in Wilkes Barre, PA

Active since October 01, 2015PECOS EnrolledAccepts Medicare Assignment
1155 E MOUNTAIN BLVD, WILKES BARRE, PA 18702(570) 808-7916(570) 808-6006 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 11, 2022, Dec 21, 2021, Nov 24, 2021 and 3 more (6 updates tracked since 2015).

About Kelly Anne O'brien Pa-c NPPES

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

KELLY ANNE O'BRIEN PA-C (NPI 1558731638) is an individual physician assistant in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (OA004147) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1558731638
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY ANNE O'BRIENCredential: PA-C
Location Address1155 E MOUNTAIN BLVDWilkes Barre, PA 18702-7906
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578
Fax(570) 808-6006
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 1, 2015
Last NPPES UpdateMay 11, 20226 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
✔ NPI 1558731638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in PA · OA004147✔ Licensed in PA · MA057914
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.
1155 E MOUNTAIN BLVD, Wilkes Barre, PA 18702

Other Names 1

Former Name (1)Kelly Anne Klaproth Pa-c

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

Kelly Anne O'brien Pa-c 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 ID648542696
PECOS Enrollment IDI20170825000651
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 18702 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Registered Nurse
1155 E MOUNTAIN BLVD
WILKES BARRE, PA 18702
Nurse Practitioner (Family)
1155 E MOUNTAIN BLVD
WILKES BARRE, PA 18702
Podiatrist
1155 E MOUNTAIN BLVD
WILKES BARRE, PA 18702
Obstetrics & Gynecology
1155 E MOUNTAIN BLVD
WILKES BARRE, PA 18702
Advanced Practice Midwife
1155 E MOUNTAIN BLVD
WILKES BARRE, PA 18702
Obstetrics & Gynecology (Gynecologic Oncology)
1155 E MOUNTAIN BLVD
WILKES BARRE, PA 18702
Registered Nurse
1155 E MOUNTAIN BLVD
WILKES BARRE, PA 18702
Physician Assistant
1155 E MOUNTAIN BLVD
WILKES BARRE, PA 18702

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 Kelly O'brien's NPI number?

The NPI number for Kelly O'brien is 1558731638. It was assigned to this individual provider in the NPPES registry on October 1, 2015. The provider is also known as Kelly Anne Klaproth Pa-C.

Where is Kelly O'brien located?

Kelly O'brien practices at 1155 E Mountain Blvd, Wilkes Barre, PA 18702. The listed phone number is (570) 808-7916.

What is Kelly O'brien's specialty?

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

Is Kelly O'brien enrolled in Medicare?

Yes. Kelly O'brien 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.

When was this NPI record last updated?

The NPPES record for Kelly O'brien was last updated on May 11, 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.