DR. CHRISTINE JEEWAN PARK MD
NPI 1154062578
Pediatrics in Festus, MO

Q: What is Christine Park's NPI number?

The NPI number for Christine Park is 1154062578. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Q: What is Christine Park's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Christine Park was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 April 07, 2022PECOS Enrolled

1275 N TRUMAN BLVD, FESTUS, MO 63028(844) 853-8937(636) 465-9512 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2026, Apr 7, 2022 (2 updates tracked since 2022).

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About Dr. Christine Jeewan Park Md NPPES

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

DR. CHRISTINE JEEWAN PARK MD (NPI 1154062578) is an individual pediatrics provider in Festus, Missouri, licensed in Missouri (2025036642) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1154062578

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. CHRISTINE JEEWAN PARKCredential: MD

Location Address1275 N TRUMAN BLVDFestus, MO 63028-1176

Mailing Address1800 CommunityClinton, MO 64735-8804 · (844) 853-8937 · Fax (636) 465-9512

Phone(844) 853-8937

Fax(636) 465-9512

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 7, 2022

Last NPPES UpdateFebruary 2, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2026

✔ NPI 1154062578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MO · 2025036642

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1275 N TRUMAN BLVD, Festus, MO 63028

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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 (PECOS)

Dr. Christine Jeewan Park Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315329091

PECOS Enrollment IDI20260206001829

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 63028 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.

JEFFREY LYNDE KETTELHUT BS IN PHARMACY

Pharmacist