MARK O'BRIEN – Certified Registered Nurse Anesthetist, NPI 1124796545

MARK O'BRIEN is a healthcare provider. based in Plymouth, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 238058-2 (MN). The NPI Number for MARK O'BRIEN is 1124796545

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
MARK O'BRIEN
NPI
1124796545
Phone
(612) 751-7531
Address
11505 39TH AVE N
Enumeration Date
31 August 2021
Last Update Date
12 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529935000
Graduation Year
2023 (3 years ago)
PAC ID
4587021423
Group Practice PAC ID
7315840063
Professional Enrollment ID
I20241114002348
Address ID
MN554264702ST6500XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

Provider Addresses for MARK O'BRIEN

  • 11505 39TH AVE N

    PLYMOUTH, MN 554411310

    Phone: (612) 751-7531

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2024-03-20 • Largest payer in this snapshot: Chiesi USA, Inc. ($50).

Total Amount

$50

General + Research + Ownership

Payments

1

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Chiesi USA, Inc.$50
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230607002631ICertified Registered Nurse Anesthetist (Crna)ILTBD
I20241114002348ICertified Registered Nurse Anesthetist (Crna)MNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55441)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315840063View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN

Reviews

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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is MARK O'BRIEN listed with a National Provider Identifier?
Yes — MARK O'BRIEN has NPI 1124796545 on file in the registry.
Is MARK O'BRIEN shown as active in public data?
Registry records indicate MARK O'BRIEN maintains an active NPI.
What area of care is associated with MARK O'BRIEN?
MARK O'BRIEN's record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Minnesota is MARK O'BRIEN registered?
Use Plymouth, Minnesota as the headline location for MARK O'BRIEN here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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