JONGHWA PARK
NPI 1013436187
Nurse Anesthetist, Certified Registered in Robbinsdale, MN

Active since September 11, 2017Accepts Medicare Assignment
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422(763) 581-3980(763) 581-3591 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Sep 11, 2017 (2 updates tracked since 2017).

About Jonghwa Park NPPES

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

JONGHWA PARK (NPI 1013436187) is an individual nurse anesthetist, certified registered in Robbinsdale, Minnesota, licensed in Minnesota (1774380) and active in the NPI registry since September 2017. He is affiliated with North Memorial Health Hospital and is a graduate of University Of Minnesota Medical School (2017).

NPPES Registry Identity

NPI1013436187
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJONGHWA PARK
Location Address3300 OAKDALE AVE NRobbinsdale, MN 55422-2926
Mailing Address3300 Oakdale Ave NRobbinsdale, MN 55422-2926 · (763) 581-3980 · Fax (763) 581-3591
Fax(763) 581-3591
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2017
Enumeration DateSeptember 11, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1013436187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in MN · 1774380
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

3300 OAKDALE AVE N, Robbinsdale, MN 55422

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

Jonghwa 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 ID4789940347
PECOS Enrollment IDI20171114003706

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240001
Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55422 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner (Family)
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Physical Medicine & Rehabilitation
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Nurse Practitioner (Gerontology)
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Radiology (Diagnostic Radiology)
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Pathology (Anatomic Pathology & Clinical Pathology)
3300 OAKDALE AVE N
MINNEAPOLIS, MN 55422
Internal Medicine (Cardiovascular Disease)
3300 OAKDALE AVE N, #200
MINNEAPOLIS, MN 55422
Internal Medicine (Interventional Cardiology)
3300 OAKDALE AVE N
ROBBINSDALE, MN 55422
Nurse Practitioner
3300 OAKDALE AVE N, SUITE 200
MINNEAPOLIS, MN 55422

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 Jonghwa Park's NPI number?

The NPI number for Jonghwa Park is 1013436187. It was assigned to this individual provider in the NPPES registry on September 11, 2017.

Where is Jonghwa Park located?

Jonghwa Park practices at 3300 Oakdale Ave N, Robbinsdale, MN 55422. The listed phone number is (763) 581-3980.

What is Jonghwa Park's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jonghwa Park enrolled in Medicare?

Yes. Jonghwa 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.

Is Jonghwa Park affiliated with any hospitals?

According to CMS data, Jonghwa Park is affiliated with North Memorial Health Hospital.

When was this NPI record last updated?

The NPPES record for Jonghwa Park was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.