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ANNA PARK NP
NPI 1083260095
Nurse Practitioner - Adult Health in Flushing, NY

Active since August 15, 2019PECOS Enrolled
4004 BOWNE ST APT 1I, FLUSHING, NY 11354(718) 539-3359 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Anna Park Np NPPES

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

ANNA PARK NP (NPI 1083260095) is an individual adult health provider in Flushing, New York, licensed in New York (309359) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083260095
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameANNA PARKCredential: NP
Location Address4004 BOWNE ST APT 1IFlushing, NY 11354-6129
Mailing Address2276 41st St Apt 3aAstoria, NY 11105-1723 · (831) 420-7509
Phone(718) 539-3359
Sole ProprietorYes
Enumeration DateAugust 15, 2019
✔ NPI 1083260095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 309359
4004 BOWNE ST APT 1I, Flushing, NY 11354
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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)

Anna Park Np 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 Anna Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Queens - Ny Medical, P.C.
Same address
Internal Medicine
4004 BOWNE ST, SUITE 1I
Flushing, NY 11354
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1316077068 (718) 539-3359

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 11354 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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.

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 Anna Park's NPI number?

The NPI number for Anna Park is 1083260095. It was assigned to this individual provider in the NPPES registry on August 15, 2019.

Where is Anna Park located?

Anna Park practices at 4004 Bowne St Apt 1I, Flushing, NY 11354. The listed phone number is (718) 539-3359.

What is Anna Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Anna Park enrolled in Medicare?

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

Which organization bills Medicare for Anna Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Park reassigns Medicare benefits to Queens - Ny Medical, P.C. (Flushing, NY). 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 Anna 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 Anna Park was last updated on August 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.