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MRS. NURI PARK NP
NPI 1003955667
Nurse Practitioner - Gerontology in Dallas, TX

Active since February 06, 2007PECOS Enrolled
750 N SAINT PAUL ST STE 1340, DALLAS, TX 75201(855) 961-1942(866) 702-0882 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Nuri Park Np NPPES

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

MRS. NURI PARK NP (NPI 1003955667) is an individual gerontology provider in Dallas, Texas, licensed in California (NP16060) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003955667
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. NURI PARKCredential: NP
Location Address750 N SAINT PAUL ST STE 1340Dallas, TX 75201-7111
Mailing Address750 N Saint Paul St Ste 1340Dallas, TX 75201-7111 · (855) 961-1942 · Fax (866) 702-0882
Phone(855) 961-1942
Fax(866) 702-0882
Sole ProprietorNo
Enumeration DateFebruary 6, 2007
Last NPPES UpdateDecember 1, 2021
NPPES CertifiedDecember 1, 2021
✔ NPI 1003955667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in CA · NP16060
750 N SAINT PAUL ST STE 1340, Dallas, TX 75201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Nuri Park Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nuri Park reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healthcare Partners Affiliates Medical Group
1,218 mi
Addiction Medicine
14591 NEWPORT AVE
Tustin, CA 92780
  • Reassigned Medicare billing, California enrollment
  • 2,052 clinicians in this Medicare group
NPI 1891981502 (714) 442-4864
William Wang Do, A Medical Corporation
1,224 mi
Family Medicine
3246 CABO BLANCO DR
Hacienda Heights, CA 91745
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
NPI 1528839263 (626) 756-7655
Housecall Doctors Medical Group Inc
1,235 mi
Geriatric Medicine
3800 KILROY AIRPORT WAY STE 270
Long Beach, CA 90806
  • Reassigned Medicare billing, California enrollment
  • 104 clinicians in this Medicare group
NPI 1033164017 (949) 366-1053

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Nuri Park's NPI number?

The NPI number for Nuri Park is 1003955667. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Nuri Park located?

Nuri Park practices at 750 N Saint Paul St Ste 1340, Dallas, TX 75201. The listed phone number is (855) 961-1942.

What is Nuri Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Nuri Park enrolled in Medicare?

Yes. Nuri Park is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nuri Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nuri Park reassigns Medicare benefits to 3 organizations: Healthcare Partners Affiliates Medical Group (Tustin, CA), William Wang Do, A Medical Corporation (Hacienda Heights, CA) and Housecall Doctors Medical Group Inc (Long Beach, CA). Each 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 Nuri 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 Nuri Park was last updated on December 1, 2021. 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.