JI HYE PARK FNP
NPI 1063477016
Nurse Practitioner - Family in Roseville, CA

Q: What is Ji Hye Park's NPI number?

The NPI number for Ji Hye Park is 1063477016. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Q: What is Ji Hye Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ji Hye Park was last updated on December 13, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 20, 2006PECOS Enrolled

1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661(916) 781-5000(916) 781-5055 Get Directions Write a Review

NPPES record last updated: December 13, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ji Hye Park Fnp NPPES

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

JI HYE PARK FNP (NPI 1063477016) is an individual family provider in Roseville, California, licensed in California (15502) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063477016

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJI HYE PARKCredential: FNP

Location Address1 MEDICAL PLAZA DRRoseville, CA 95661-3037

Mailing Address1 Medical Plaza DrRoseville, CA 95661-3037 · (323) 580-1382

Phone(916) 781-5000

Fax(916) 781-5055

Sole ProprietorNo

Enumeration DateApril 20, 2006

Last NPPES UpdateDecember 13, 2019

✔ NPI 1063477016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 15502

1 MEDICAL PLAZA DR, Roseville, CA 95661

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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)

Ji Hye Park Fnp 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 95661 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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 20

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

IQBAL SINGH GREWAL MD

Student in an Organized Health Care Education/Training Program