NANYOUNG PARK ANP-BC
NPI 1043633084
Clinical Nurse Specialist - Adult Health in Duluth, GA

Q: What is Nanyoung Park's NPI number?

The NPI number for Nanyoung Park is 1043633084. It was assigned to this individual provider in the NPPES registry on January 28, 2014.

Q: What is Nanyoung Park's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Q: When was this NPI record last updated?

The NPPES record for Nanyoung Park was last updated on January 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since January 28, 2014PECOS EnrolledAccepts Medicare Assignment

3590 PEACHTREE INDUSTRIAL BLVD, DULUTH, GA 30096(770) 614-9799(770) 614-9789 Get Directions Write a Review

NPPES record last updated: January 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nanyoung Park Anp-bc NPPES

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

NANYOUNG PARK ANP-BC (NPI 1043633084) is an individual adult health provider in Duluth, Georgia, licensed in Georgia (RN190483) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1043633084

Entity TypeIndividualFemale

Primary Taxonomy364SA2200X

Provider Legal NameNANYOUNG PARKCredential: ANP-BC

Location Address3590 PEACHTREE INDUSTRIAL BLVDDuluth, GA 30096-4817

Mailing Address3590 Peachtree Industrial BlvdDuluth, GA 30096-4817 · (770) 614-9799 · Fax (770) 614-9789

Phone(770) 614-9799

Fax(770) 614-9789

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJanuary 28, 2014

✔ NPI 1043633084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SA2200X

License✔ Licensed in GA · RN190483

3590 PEACHTREE INDUSTRIAL BLVD, Duluth, GA 30096

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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 and accepts Medicare assignment

Nanyoung Park Anp-bc 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 ID6002034063

PECOS Enrollment IDI20140904001463

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.

Areas of Expertise CMS Part B claims 3

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.

140 services53 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

41 services29 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

28 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110252

Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30096 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YOUNG D KIM APRN

Nurse Practitioner (Family)