JENNIFER ANNE O'BRIEN
NPI 1770125833
Nurse Practitioner - Psychiatric/Mental Health in Marlton, NJ

Active since October 10, 2019PECOS EnrolledAccepts Medicare Assignment
765 ROUTE 70 E BLDG A-100, MARLTON, NJ 08053(856) 983-3900(856) 797-4785 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 14, 2020, Oct 10, 2019 (2 updates tracked since 2019).

About Jennifer Anne O'brien NPPES

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

JENNIFER ANNE O'BRIEN (NPI 1770125833) is an individual psychiatric/mental health provider in Marlton, New Jersey, licensed in New York (F402654-01) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1770125833
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJENNIFER ANNE O'BRIEN
Location Address765 ROUTE 70 E BLDG A-100Marlton, NJ 08053-2341
Mailing Address159 Carleton AveCentral Islip, NY 11722-4172 · (631) 650-2087
Fax(856) 797-4785
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 10, 2019
Last NPPES UpdateAugust 14, 20202 updates tracked since enumeration
NPPES CertifiedAugust 14, 2020
✔ NPI 1770125833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F402654-01
765 ROUTE 70 E BLDG A-100, Marlton, NJ 08053

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

Jennifer Anne O'brien 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 ID9335576172
PECOS Enrollment IDI20200918002357
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 Reassignment

Medicare enrollment records show Jennifer O'brien reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Developmental Disabilities
250 MARCUS BLVD
Hauppauge, NY 11788
  • Reassigned Medicare billing, New York enrollment
  • 70 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 08053 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Other Providers at the Same Location NPPES 7

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

Counselor (Professional)
765 ROUTE 70 E BLDG A-100
MARLTON, NJ 08053
Nurse Practitioner (Psychiatric/Mental Health)
765 ROUTE 70 E BLDG A-100
MARLTON, NJ 08053
Nurse Practitioner (Psychiatric/Mental Health)
765 ROUTE 70 E BLDG A-100
MARLTON, NJ 08053
Nurse Practitioner (Psychiatric/Mental Health)
765 ROUTE 70 E BLDG A-100
MARLTON, NJ 08053
Nurse Practitioner (Psychiatric/Mental Health)
765 ROUTE 70 E BLDG A-100
MARLTON, NJ 08053
Nurse Practitioner (Psychiatric/Mental Health)
765 ROUTE 70 E BLDG A-100
MARLTON, NJ 08053
Nurse Practitioner (Psychiatric/Mental Health)
765 ROUTE 70 E BLDG A-100
MARLTON, NJ 08053

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 Jennifer O'brien's NPI number?

The NPI number for Jennifer O'brien is 1770125833. It was assigned to this individual provider in the NPPES registry on October 10, 2019.

Where is Jennifer O'brien located?

Jennifer O'brien practices at 765 Route 70 E Bldg A-100, Marlton, NJ 08053. The listed phone number is (856) 983-3900.

What is Jennifer O'brien's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jennifer O'brien enrolled in Medicare?

Yes. Jennifer 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 organization bills Medicare for Jennifer O'brien's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer O'brien reassigns Medicare benefits to Long Island Select Healthcare, Inc. (Hauppauge, NY). 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 Jennifer O'brien'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 Jennifer O'brien was last updated on August 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.