JAMIE L PARK CRNP
NPI 1003290404
Nurse Practitioner - Family in Greenville, PA
About Jamie L Park Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMIE L PARK CRNP (NPI 1003290404) is an individual family provider in Greenville, Pennsylvania, licensed in Pennsylvania (SP015055) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jamie L Park Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jamie Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greenville, PA 16125
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,182 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 16125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREENVILLE, PA 16125
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 Jamie Park's NPI number?
The NPI number for Jamie Park is 1003290404. It was assigned to this individual provider in the NPPES registry on July 15, 2015.
Where is Jamie Park located?
Jamie Park practices at 90 Shenango St, Greenville, PA 16125. The listed phone number is (724) 588-4240.
What is Jamie Park's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jamie Park enrolled in Medicare?
Yes. Jamie Park is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jamie Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Park reassigns Medicare benefits to Upmc Community Medicine Inc (Greenville, PA). 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 Jamie Park'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 Jamie Park was last updated on July 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Jamie L Park, CRNP · NPI 1003290404
Family physician in Greenville, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 15, 2015.
## Identity
- **NPI:** 1003290404 (Entity type: Individual)
- **Enumerated:** July 15, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP015055 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 90 SHENANGO ST, Greenville, PA 16125-2060
- **Phone:** (724) 588-4240
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Upmc Community Medicine Inc (NPI 1912033044, Greenville, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1003290404) · Data from the CMS NPPES public registry.