Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KARIN A O'BRIEN APRN
NPI 1710909932
Clinical Nurse Specialist - Psychiatric/Mental Health, Child & Adolescent in Wildwood, FL

Active since July 24, 2006PECOS Enrolled
81.16/100
CMS Quality Rating
2630 NEWELL POND BLF, WILDWOOD, FL 34785(617) 479-4545(617) 481-5296 Get Directions Write a Review

NPPES record last updated: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 5, 2026, Feb 7, 2022 (2 updates tracked since 2022).

About Karin A O'brien Aprn NPPES

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

KARIN A O'BRIEN APRN (NPI 1710909932) is an individual psychiatric/mental health, child & adolescent provider in Wildwood, Florida, licensed in Massachusetts (172893) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1710909932
Entity TypeIndividualFemale
Primary Taxonomy364SP0807X
Provider Legal NameKARIN A O'BRIENCredential: APRN
Location Address2630 NEWELL POND BLFWildwood, FL 34785-9725
Mailing Address234 Copeland St Ste 320Quincy, MA 02169-4082 · (781) 491-3015
Fax(617) 481-5296
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 24, 2006
Last NPPES UpdateNovember 5, 20262 updates tracked since enumeration
NPPES CertifiedNovember 5, 2026
✔ NPI 1710909932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, Child & AdolescentPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0807X
License✔ Licensed in MA · 172893
2630 NEWELL POND BLF, Wildwood, FL 34785

Accepted Insurance

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

Karin A O'brien Aprn 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 ID3577456516
PECOS Enrollment IDI20040204000592
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Karin O'brien reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric Hospital
45 CLAPBOARDTREE ST
Westwood, MA 02090
  • Reassigned Medicare billing, Massachusetts enrollment
  • 76 clinicians in this Medicare group
Community/Behavioral Health
234 COPELAND STREET STE 320
Quincy, MA 02169
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: Nova Psychiatric Services, P.C
  • 15 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.

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.
186 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34785 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

81.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.96
Improvement Activities40

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 Karin O'brien's NPI number?

The NPI number for Karin O'brien is 1710909932. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Karin O'brien located?

Karin O'brien practices at 2630 Newell Pond Blf, Wildwood, FL 34785. The listed phone number is (617) 479-4545.

What is Karin O'brien's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Child & Adolescent, with taxonomy code 364SP0807X.

Is Karin O'brien enrolled in Medicare?

Yes. Karin 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.

Which organizations bill Medicare for Karin O'brien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karin O'brien reassigns Medicare benefits to 2 organizations: Uhs Of Westwood Pembroke Inc (Westwood, MA) and Nova Psychiatric Services, PC (Quincy, MA). Each 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 Karin O'brien's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karin O'brien accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Oscar Health Maintenance Organization of Florida, UnitedHealthcare and Wellpoint list Karin 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 Karin O'brien was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.