PAULINE PARK
NPI 1003559519
Community Health Worker in Somerville, MA

Active since April 14, 2022PECOS EnrolledAccepts Medicare Assignment
117 SUMMER ST, SOMERVILLE, MA 02143(617) 354-2275 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pauline Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAULINE PARK (NPI 1003559519) is an individual community health worker in Somerville, Massachusetts and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1003559519
Entity TypeIndividualFemale
Primary Taxonomy172V00000X
Provider Legal NamePAULINE PARK
Location Address117 SUMMER STSomerville, MA 02143-2706
Mailing Address117 Summer StSomerville, MA 02143-2706
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 14, 2022
NPPES CertifiedApril 14, 2022
NPI 1003559519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
117 SUMMER ST, Somerville, MA 02143

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Pauline Park is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274052642
PECOS Enrollment IDI20250529000269
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Social Worker (Clinical)
117 SUMMER ST
SOMERVILLE, MA 02143
Counselor (Mental Health)
117 SUMMER ST
SOMERVILLE, MA 02143
Case Manager/Care Coordinator
117 SUMMER ST
SOMERVILLE, MA 02143
Nursing Facility/Intermediate Care Facility
117 SUMMER ST
SOMERVILLE, MA 02143
Counselor
117 SUMMER ST
SOMERVILLE, MA 02143
Social Worker (Clinical)
117 SUMMER ST
SOMERVILLE, MA 02143
Social Worker (School)
117 SUMMER ST
SOMERVILLE, MA 02143
Counselor (Mental Health)
117 SUMMER ST
SOMERVILLE, MA 02143

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 Pauline Park's NPI number?

The NPI number for Pauline Park is 1003559519. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Pauline Park located?

Pauline Park practices at 117 Summer St, Somerville, MA 02143. The listed phone number is (617) 354-2275.

What is Pauline Park's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

Is Pauline Park enrolled in Medicare?

Yes. Pauline Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Pauline Park was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.