Question 1

What type of a medical provider is Kelly O'Brien?

Accepted Answer

Kelly O'Brien is a Nurse Practitioner (Adult Health).

Question 2

Where does Kelly O'Brien practice medicine?

Accepted Answer

Kelly O'Brien has the following practice address:1680 THE GREENS WAY STE 200, JACKSONVILLE BEACH, FL 32250-1422

Question 3

Does this provider have a license number?

Accepted Answer

Kelly O'Brien has the following license number: License Number 9270387 issued in Florida.

Question 4

Does Kelly O'Brien accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Kelly O'Brien have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Kelly O'Brien a member of any Medical Groups?

Accepted Answer

Kelly O'Brien is not affiliated with any medical groups.

Question 7

Does Kelly O'Brien participate in PECOS?

Accepted Answer

Yes, Kelly O'Brien participates in PECOS.

Question 8

What phone number can I call to contact Kelly O'Brien?

Accepted Answer

You can call the following number: (904)-800-7380

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Kelly O'Brien.

Question 10

Is Kelly O'Brien  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 1 year ago (7/15/2024).

Type/Issuer	Identifier	State
MEDICAID	013647700	FL
MEDICAID	003159917A	GA

Taxonomy	State	Primary?
Nurse Practitioner (Adult Health) - Taxonomy Code 363LA2200X	FL	Y
Nurse Practitioner (Acute Care) - Taxonomy Code 363LA2100X	FL	N

Participates in PECOS:	YES
PECOS Individual Enrollment ID:
PECOS Individual PAC ID:
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Kelly O'Brien

Overview