CAROL LYNN PARKS
NPI 1013100775
Nurse Practitioner - Family in Michigan City, IN

Active since August 24, 2007
33.04/100
CMS Quality Rating
1225 E COOLSPRING AVE, 2-E, MICHIGAN CITY, IN 46360(219) 879-6531 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2021, Nov 30, 2017 (2 updates tracked since 2017).

About Carol Lynn Parks NPPES

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

CAROL LYNN PARKS (NPI 1013100775) is an individual family provider in Michigan City, Indiana, licensed in Indiana (71002473A) and active in the NPI registry since August 2007. She maintains a secondary practice location in Hobart.

NPPES Registry Identity

NPI1013100775
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROL LYNN PARKS
Location Address1225 E COOLSPRING AVE, 2-EMichigan City, IN 46360-6312
Mailing AddressPo Box 781076Detroit, MI 48278-1076
Sole ProprietorNo
Enumeration DateAugust 24, 2007
Last NPPES UpdateMarch 11, 20212 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
NPI 1013100775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71002473A
1225 E COOLSPRING AVE, Michigan City, IN 46360

Secondary Practice Location 1

Location 17865 Grand BlvdHobart, IN 46342-6665 · Phone (219) 945-0669 · Fax (219) 945-5669

Other Identifiers 1

Medicaid200923670IN

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

33.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality22.86
Promoting Interoperability0
Improvement Activities20
Cost62.3

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.

Clinic/Center (Multi-Specialty)
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Ophthalmology
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Ophthalmology
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Physical Therapy Assistant
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Optometrist
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Internal Medicine (Pulmonary Disease)
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Family Medicine
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360
Occupational Therapist
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360

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 Carol Parks's NPI number?

The NPI number for Carol Parks is 1013100775. It was assigned to this individual provider in the NPPES registry on August 24, 2007.

Where is Carol Parks located?

Carol Parks practices at 1225 E Coolspring Ave 2-E, Michigan City, IN 46360. The listed phone number is (219) 879-6531.

What is Carol Parks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Carol Parks was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.