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GRACE THOMPSON PARK CNM
NPI 1053063651
Advanced Practice Midwife in Dallas, TX

Active since January 25, 2022PECOS Enrolled
5200 HARRY HINES BLVD, DALLAS, TX 75235(214) 590-8000 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 12, 2022, Jan 25, 2022 (2 updates tracked since 2022).

About Grace Thompson Park Cnm NPPES

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

GRACE THOMPSON PARK CNM (NPI 1053063651) is an individual advanced practice midwife in Dallas, Texas and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053063651
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameGRACE THOMPSON PARKCredential: CNM
Location Address5200 HARRY HINES BLVDDallas, TX 75235-7709
Mailing Address906 Kensington DrDuncanville, TX 75137-2138 · (281) 638-1877
Phone(214) 590-8000
Sole ProprietorNo
Enumeration DateJanuary 25, 2022
Last NPPES UpdateApril 12, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2022
✔ NPI 1053063651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Also ListedMidwifeTaxonomy 176B00000X · License 1069315 (TX)
5200 HARRY HINES BLVD, Dallas, TX 75235
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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)

Grace Thompson Park Cnm 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 Reassignment

Medicare enrollment records show Grace Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dallas County Hospital District
Same address
Women's Health
5200 HARRY HINES BLVD
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 808 clinicians in this Medicare group
NPI 1508014895 (214) 590-8383

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75235 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
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

DR. XIAOSONG MENG M.D., PH.D.
Urology
5200 HARRY HINES BLVD
DALLAS, TX 75235
Dallas County (214) 590-8000
ERIC LARA CRNA
Nurse Anesthetist, Certified Registered
5200 HARRY HINES BLVD
DALLAS, TX 75235
Dallas County (469) 419-2850
NEIL KESHVANI M.D.
Internal Medicine (Cardiovascular Disease)
5200 HARRY HINES BLVD
DALLAS, TX 75235
Dallas County (214) 590-4656
SAGAR PATEL MD
Anesthesiology
5200 HARRY HINES BLVD
DALLAS, TX 75235
Dallas County (972) 339-0984
DAVID JOHNSON MD
Internal Medicine (Medical Oncology)
5200 HARRY HINES BLVD
DALLAS, TX 75235
Dallas County (214) 590-8000
DR. MI SUN KENSING DO
Anesthesiology
5200 HARRY HINES BLVD
DALLAS, TX 75235
Dallas County (214) 648-6400
RUBY LASKIN M.D.
Surgery
5200 HARRY HINES BLVD
DALLAS, TX 75235
Dallas County (214) 590-8000
BINA REGI AGACNP
Nurse Practitioner (Family)
5200 HARRY HINES BLVD
DALLAS, TX 75235
Dallas County (214) 590-4656

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 Grace Park's NPI number?

The NPI number for Grace Park is 1053063651. It was assigned to this individual provider in the NPPES registry on January 25, 2022.

Where is Grace Park located?

Grace Park practices at 5200 Harry Hines Blvd, Dallas, TX 75235. The listed phone number is (214) 590-8000.

What is Grace Park's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Grace Park enrolled in Medicare?

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

Which organization bills Medicare for Grace Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Park reassigns Medicare benefits to Dallas County Hospital District (Dallas, TX). The 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 Grace 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 Grace Park was last updated on April 12, 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.