JONGSOK PAK M.D.
NPI 1053352930
Psychiatry & Neurology - Psychiatry in St Louis Park, MN

Q: What is Jongsok Pak's NPI number?

The NPI number for Jongsok Pak is 1053352930. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Q: What is Jongsok Pak's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jongsok Pak was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 09, 2006PECOS EnrolledAccepts Medicare Assignment

3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416(952) 993-3307 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Jongsok Pak M.d. NPPES

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

JONGSOK PAK M.D. (NPI 1053352930) is an individual psychiatry provider in St Louis Park, Minnesota, licensed in Minnesota (48505) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1053352930

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameJONGSOK PAKCredential: M.D.

Location Address3800 PARK NICOLLET BLVDSt Louis Park, MN 55416-2527

Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516

Phone(952) 993-3307

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJune 9, 2006

Last NPPES UpdateMarch 10, 2021

NPPES CertifiedMarch 10, 2021

✔ NPI 1053352930 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 MN · 48505

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.

3800 PARK NICOLLET BLVD, St Louis Park, MN 55416

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jongsok Pak M.d. 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 ID244233294

PECOS Enrollment IDI20060814000215

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 Jongsok Pak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Park Nicollet Clinic

Same address

Family Medicine

3800 PARK NICOLLET BLVD
St Louis Park, MN 55416

Reassigned Medicare billing, Minnesota enrollment
2,527 clinicians in this Medicare group

NPI 1063897593 (952) 993-3123

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

Areas of Expertise CMS Part B claims 4

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.

178 services99 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.

102 services66 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.

22 services14 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

19 services13 patients

Hospital Affiliations CMS Care Compare

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240053

Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55416 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

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

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.

PETER MCCORMICK SCHAUB PSYD, LP

Psychologist

3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3123

DAVID J NUTZ MD

Physical Medicine & Rehabilitation

3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3800

GLENN MATFIN M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

3800 PARK NICOLLET BLVD
MINNEAPOLIS, MN 55416

Hennepin County (952) 993-3048

KELLY C GRECO PAC

Physician Assistant

3800 PARK NICOLLET BLVD, DEPARTMENT OF DERMATOLOGY
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3260

KARLA SUSAN ROSENMAN MD

Dermatology

3800 PARK NICOLLET BLVD, DERMATOLOGY 4TH FLOOR
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3821

DR. KRISTIN A KUNZMAN PSY.D.

Psychologist (Clinical)

3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3393

DR. ALISON M LANG M.D.

Dermatology

3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3789

DR. CHUNG M LEE M.D.

Radiology (Diagnostic Radiology)

3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416

Hennepin County (952) 993-3212

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 Jongsok Pak's NPI number?

The NPI number for Jongsok Pak is 1053352930. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Jongsok Pak located?

Jongsok Pak practices at 3800 Park Nicollet Blvd, St Louis Park, MN 55416. The listed phone number is (952) 993-3307.

What is Jongsok Pak's specialty?

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

Is Jongsok Pak enrolled in Medicare?

Yes. Jongsok Pak 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.

Which organization bills Medicare for Jongsok Pak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jongsok Pak reassigns Medicare benefits to Park Nicollet Clinic (St Louis Park, MN). 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 Jongsok Pak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jongsok Pak accept?

Health plans from HealthPartners and Medica list Jongsok Pak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jongsok Pak affiliated with any hospitals?

According to CMS data, Jongsok Pak is affiliated with Park Nicollet Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Jongsok Pak was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.