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

Q: 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.

Q: What is Grace Park's specialty?

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

Q: 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.

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: August 16, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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