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KNOELLE PARK D.O.
NPI 1013448026
Psychiatry & Neurology - Psychiatry in Houston, TX

Active since March 22, 2017PECOS Enrolled
2300 OLD SPANISH TRL APT 2052, HOUSTON, TX 77054(972) 821-2061 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2022, Mar 22, 2017 (2 updates tracked since 2017).

About Knoelle Park D.o. NPPES

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

KNOELLE PARK D.O. (NPI 1013448026) is an individual psychiatry provider in Houston, Texas, licensed in Texas (T2036) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013448026
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameKNOELLE PARKCredential: D.O.
Location Address2300 OLD SPANISH TRL APT 2052Houston, TX 77054-2142
Mailing Address2300 Old Spanish Trl Apt 2052Houston, TX 77054-2142 · (972) 821-2061
Phone(972) 821-2061
Sole ProprietorNo
Enumeration DateMarch 22, 2017
Last NPPES UpdateJanuary 4, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2022
✔ NPI 1013448026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TX · T2036
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2300 OLD SPANISH TRL APT 2052, Houston, TX 77054
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Knoelle Park D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77054 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
$176.98 typical visit price
range $58.24 – $176.98
Typical copayment $44.24 (range $14.56 – $44.24)
Most-billed visit code 99205
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

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 Knoelle Park's NPI number?

The NPI number for Knoelle Park is 1013448026. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Knoelle Park located?

Knoelle Park practices at 2300 Old Spanish Trl Apt 2052, Houston, TX 77054. The listed phone number is (972) 821-2061.

What is Knoelle Park's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Knoelle Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Knoelle Park was last updated on January 4, 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.