YUN YOUNG BAE PARK AGPCNP-BC
NPI 1093196172
Nurse Practitioner - Primary Care in Boston, MA
About Yun Young Bae Park Agpcnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YUN YOUNG BAE PARK AGPCNP-BC (NPI 1093196172) is an individual primary care provider in Boston, Massachusetts, licensed in Massachusetts (2015001894) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Yun Young Bae Park Agpcnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Yun Young Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02215
- Reassigned Medicare billing, Massachusetts enrollment
- 1,006 clinicians in this Medicare group
Boston, MA 02215
- Reassigned Medicare billing, Massachusetts enrollment
- 2,579 clinicians in this Medicare group
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 02215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOSTON, MA 02215
BOSTON, MA 02215
BOSTON, MA 02215
BOSTON, MA 02215
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 Yun Young Park's NPI number?
The NPI number for Yun Young Park is 1093196172. It was assigned to this individual provider in the NPPES registry on June 15, 2015.
Where is Yun Young Park located?
Yun Young Park practices at 330 Brookline Ave Yamins 203, Boston, MA 02215. The listed phone number is (617) 667-3364.
What is Yun Young Park's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Yun Young Park enrolled in Medicare?
Yes. Yun Young Park is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Yun Young Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yun Young Park reassigns Medicare benefits to 2 organizations: Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is (Boston, MA) and Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA). Each 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 Yun Young Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Yun Young Park accept?
Health plans from Anthem Blue Cross and Blue Shield list Yun Young Park 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.
When was this NPI record last updated?
The NPPES record for Yun Young Park was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Yun Young Bae Park, AGPCNP-BC · NPI 1093196172
Primary Care physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since June 15, 2015.
## Identity
- **NPI:** 1093196172 (Entity type: Individual)
- **Enumerated:** June 15, 2015
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 2015001894 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 330 BROOKLINE AVE, YAMINS 203, Boston, MA 02215-5400
- **Phone:** (617) 667-3364
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is (NPI 1861216038, Boston, MA); Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (NPI 1194765438, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1093196172) · Data from the CMS NPPES public registry.