REGINA MIYOUNG PARK AGACNP-BC
NPI 1093170318
Nurse Practitioner - Acute Care in Cincinnati, OH

Q: What is Regina Park's NPI number?

The NPI number for Regina Park is 1093170318. It was assigned to this individual provider in the NPPES registry on December 31, 2015.

Q: What is Regina Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Regina Park was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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 December 31, 2015PECOS EnrolledAccepts Medicare Assignment

2139 AUBURN AVE, CINCINNATI, OH 45219(513) 585-4157(513) 585-4244 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 9, 2025, Mar 3, 2021, Dec 5, 2018 and 1 more (4 updates tracked since 2015).

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About Regina Miyoung Park Agacnp-bc NPPES

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

REGINA MIYOUNG PARK AGACNP-BC (NPI 1093170318) is an individual acute care provider in Cincinnati, Ohio, licensed in Ohio (APRN.CNP.022288) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, is affiliated with Christ Hospital, and is a graduate of Vanderbilt University School Of Medicine (2015).

NPPES Registry Identity

NPI1093170318

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameREGINA MIYOUNG PARKCredential: AGACNP-BC

Location Address2139 AUBURN AVECincinnati, OH 45219-2906

Mailing Address2139 Auburn Ave # 4-7Cincinnati, OH 45219-2906 · (513) 263-8551

Phone(513) 585-4157

Fax(513) 585-4244

Sole ProprietorNo

Medical School CMSVanderbilt University School Of MedicineGraduated 2015

Enumeration DateDecember 31, 2015

Last NPPES UpdateJanuary 9, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2025

✔ NPI 1093170318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in OH · APRN.CNP.022288

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License APRN.CNP.022288 (OH)

2139 AUBURN AVE, Cincinnati, OH 45219

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Other Identifiers 1

Medicaid0281246OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Regina Miyoung Park Agacnp-bc 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 ID3577854850

PECOS Enrollment IDI20181218001443

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.

Hospital Affiliations CMS Care Compare

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

Christ Hospital

Acute Care Hospitals · Cincinnati, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360163

Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

MRS. LAUREN FAYE SMITH ACNP-BC

Nurse Practitioner (Acute Care)