KELLIE ADRIENNE PARK MD
NPI 1144481466
Anesthesiology in Seymour, IN

Active since June 19, 2008PECOS EnrolledAccepts Medicare Assignment
90.14/100
CMS Quality Rating
411 W TIPTON ST, ATTN: ANESTHESIA DEPT, SEYMOUR, IN 47274(812) 524-2738 Get Directions Write a Review

NPPES record last updated: January 21, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kellie Adrienne Park Md NPPES

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

KELLIE ADRIENNE PARK MD (NPI 1144481466) is an individual anesthesiology provider in Seymour, Indiana, licensed in Indiana (01073835A) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Johnson Memorial Hospital, and is a graduate of Indiana University School Of Medicine (2008).

NPPES Registry Identity

NPI1144481466
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameKELLIE ADRIENNE PARKCredential: MD
Location Address411 W TIPTON ST, ATTN: ANESTHESIA DEPTSeymour, IN 47274-2363
Mailing Address411 W Tipton St, Attn: Anesthesia DeptSeymour, IN 47274-2363 · (812) 524-2738
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2008
Enumeration DateJune 19, 2008
Last NPPES UpdateJanuary 21, 2019
NPI 1144481466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in IN · 01073835A
Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

411 W TIPTON ST, Seymour, IN 47274

Accepted 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

Kellie Adrienne Park Md 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 ID7214190529
PECOS Enrollment IDI20140624002347
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.

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.

Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
32 services32 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
15 services15 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
13 services13 patients
Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter 64448
This procedure involves the slow, steady delivery of a medication into your thigh nerve. An anesthetic agent or steroid is used to manage pain or inflammation. It's a safe, effective way to deliver medication directly to the area that needs it.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Johnson Memorial Hospital

Acute Care Hospitals · Franklin, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150001
Location1125 W Jefferson StFranklin, IN 46131 · Johnson County
Emergency services Birthing friendly

Schneck Medical Center

Acute Care Hospitals · Seymour, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150065
Location411 W Tipton StSeymour, IN 47274 · Jackson County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.14
Promoting Interoperability93.3
Improvement Activities40

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.

Emergency Medicine
411 W TIPTON ST
SEYMOUR, IN 47274
Pharmacist
411 W TIPTON ST
SEYMOUR, IN 47274
Family Medicine
411 W TIPTON ST
SEYMOUR, IN 47274
Medicare Defined Swing Bed Unit
411 W TIPTON ST
SEYMOUR, IN 47274
Registered Nurse
411 W TIPTON ST
SEYMOUR, IN 47274
Pathology (Anatomic Pathology & Clinical Pathology)
411 W TIPTON ST
SEYMOUR, IN 47274
Surgery
411 W TIPTON ST
SEYMOUR, IN 47274
Nurse Anesthetist, Certified Registered
411 W TIPTON ST
SEYMOUR, IN 47274

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 Kellie Park's NPI number?

The NPI number for Kellie Park is 1144481466. It was assigned to this individual provider in the NPPES registry on June 19, 2008.

Where is Kellie Park located?

Kellie Park practices at 411 W Tipton St Attn: Anesthesia Dept, Seymour, IN 47274. The listed phone number is (812) 524-2738.

What is Kellie Park's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Kellie Park enrolled in Medicare?

Yes. Kellie Park 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.

What insurance does Kellie Park accept?

Health plans from CareSource list Kellie 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.

Is Kellie Park affiliated with any hospitals?

According to CMS data, Kellie Park is affiliated with Johnson Memorial Hospital and Schneck Medical Center.

When was this NPI record last updated?

The NPPES record for Kellie Park was last updated on January 21, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.