KERRY LEE O'BRIEN (NP) – Family Nurse Practitioner, NPI 1366418535

KERRY LEE O'BRIEN (NP) is a healthcare provider. based in Milwaukie, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 200250084NP (OR). The NPI Number for KERRY LEE O'BRIEN (NP) is 1366418535

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KERRY LEE O'BRIEN (NP)
NPI
1366418535
Phone
(503) 312-4607
Address
4560 SE INTERNATIONAL WAY
Enumeration Date
27 February 2006
Last Update Date
10 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9712065164
Graduation Year
2008 (18 years ago)
PAC ID
7719072388
Group Practice PAC ID
2860827821
Professional Enrollment ID
I20070927000955
Address ID
OR972224628MI4560XWAYX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

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Provider Addresses for KERRY LEE O'BRIEN (NP)

  • 4560, Southeast International Way, Milwaukie, Metro, Clackamas County, Oregon, 97222, United States

    SUITE 100

    MILWAUKIE, OR 972224628

    Phone: (503) 312-4607

    Fax: (503) 296-2408

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-09-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20070927000955INurse PractitionerORTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes12067$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes10095$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1916$0
View full utilization report →

Insurance plans in this area (ZIP 97222)

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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: 2860827821View full group profile
NameSpecialtyState
Nurse PractitionerOR
-OR
Internal MedicineOR
Nurse PractitionerOR
Nurse PractitionerOR
Nurse PractitionerOR
-OR
Physician AssistantCA
Nurse PractitionerOR
Internal MedicineOR

Reviews

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Frequently asked questions

How do payers reference KERRY LEE O'BRIEN (NP)?
For KERRY LEE O'BRIEN (NP), use NPI 1366418535 as the unique 10-digit identifier.
Would KERRY LEE O'BRIEN (NP) appear as active to a payer?
You can treat KERRY LEE O'BRIEN (NP) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is KERRY LEE O'BRIEN (NP)?
KERRY LEE O'BRIEN (NP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is KERRY LEE O'BRIEN (NP) located near Milwaukie?
KERRY LEE O'BRIEN (NP) currently maps to Milwaukie, Oregon in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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