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Gavin O'brien

Physician Assistant β€’ Grand Rapids, MI

Active NPI 1003689183 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

770 Kenmoor Ave Se Ste 100
Grand Rapids, MI 495468602

Call 6162723533 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

770 Kenmoor Ave Se Ste 100

Grand Rapids, MI 495468602

Telephone 6162723533
Fax 6162594839
Organization at the Same NPPES Address or Phone
Northview Health Specialists, Pllc Facility NPI 1629558978

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Northview Health Specialists, Pllc; Northview Medical House Calls Plc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Gavin O'Brien has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Gavin O'Brien as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Grand Rapids and Michigan

931 active clinicians are listed under Physician Assistant with a practice address in Grand Rapids, MI (7,169 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Grand Rapids

18.2% of these 931 clinicians have the CMS telehealth indicator.

70.6% of these 931 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20260327002147

Enrollment State Jurisdiction

MI

PECOS Control ID

8820573843

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Northview Medical House Calls Plc

4760 Fashion Square Blvd, Saginaw, MI 486042620

Phone: 9892824003

Northview Health Specialists, Pllc

770 Kenmoor Ave Se, Grand Rapids, MI 495468602

Phone: 6162723533

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

24 listed
Amelia Albachten , FNP-BC

Nurse Practitioner

NPI 1093169302

Family Nurse Practitioner (Board Certified)

Rebecca Baker Marriott , RN, MSN, FNP-BC

Nurse Practitioner - Family

NPI 1679089759

Registered Nurse, Master of Science in Nursing, Family Nurse Practitioner (Board Certified)

Corinna Balentine , FNP-C

Nurse Practitioner - Family

NPI 1164956934

Family Nurse Practitioner (Certified)

Dr. Mary Ball , MD

Family Medicine - Geriatric Medicine

NPI 1801888938

Doctor of Medicine (M.D.)

Kaitlyn Collins , AGNP

Nurse Practitioner - Adult Health

NPI 1326544230

Adult-Gerontology Nurse Practitioner

Angela Coplin , NP

Nurse Practitioner - Adult Health

NPI 1295482743

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location April 07, 2026

Registered at 770 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 495468602 (Tel: 6162723533)

πŸ“
Updated Business Mailing Address April 07, 2026

Registered at 801 ROSEHILL RD, JACKSON, MI 492021762 (Tel: 5172122008)

πŸ“
Updated Business Mailing Address February 12, 2026

Registered at 4287 MEADOWOOD CT, HUDSONVILLE, MI 494268667 (Tel: 6163123255)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2026

Physician Assistant

βœ…
NPI Profile Active November 01, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 01, 2023

Registered at 3475 PLYMOUTH RD, ANN ARBOR, MI 481052550 (Tel: 7349957300)

πŸ“
Business Mailing Address (Initial Record) November 01, 2023

Registered at 3475 PLYMOUTH RD, ANN ARBOR, MI 481052550

πŸ‘€
Provider Name / Credentials (Initial Record) November 01, 2023

Recorded as GAVIN O'BRIEN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2023

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration November 01, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1003689183
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2023
Last Update: April 07, 2026
Sole Proprietor: Yes

Other Physician Assistants in Grand Rapids

All Physician Assistants in Grand Rapids

Mailing Address

801 Rosehill Rd

Jackson, MI 492021762

Phone: 5172122008

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.