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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since April 07, 2022PECOS Enrolled
1021 HITT ST, COLUMBIA, MO 65212(573) 882-2272(573) 884-5179 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 24, 2026, Feb 2, 2026, Apr 7, 2022 (3 updates tracked since 2022).

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 Columbia, 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 Address1021 HITT STColumbia, MO 65212-1002
Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943
Phone(573) 882-2272
Fax(573) 884-5179
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 7, 2022
Last NPPES UpdateSeptember 24, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 24, 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.
1021 HITT ST, Columbia, MO 65212
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Christine Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Curators Of The University Of Missouri
0.1 mi
Multi-Specialty
1 HOSPITAL DR
Columbia, MO 65212
  • Reassigned Medicare billing, Missouri enrollment
  • 1,395 clinicians in this Medicare group
NPI 1235126921 (573) 882-4141
Compass Health, Inc.
60 mi
Federally Qualified Health Center (FQHC)
19515 BRUNE PKWY
Warrenton, MO 63383
  • Reassigned Medicare billing, Missouri enrollment
  • 968 clinicians in this Medicare group
NPI 1144415175 (636) 456-1500

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 65212 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

DANIELA CRISTINA BICHIANU M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1021 HITT ST
COLUMBIA, MO 65212
Boone County (573) 219-3960
DR. DANIELLE KEEBAUGH THAQI MD
Hospitalist
1021 HITT ST
COLUMBIA, MO 65212
Boone County (573) 882-6544
HILTON NGO M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1021 HITT ST
COLUMBIA, MO 65212
Boone County (573) 882-2272
CAROLYN SUE QUINSEY M.D.
Neurological Surgery
1021 HITT ST
COLUMBIA, MO 65212
Boone County (573) 882-4908
DR. MADELINE TRAHAN LARROW PSYD
Psychologist (Clinical Child & Adolescent)
1021 HITT ST
COLUMBIA, MO 65212
Boone County (573) 884-7570
DOUGLAS EUGENE NEWSON NNP
Nurse Practitioner (Neonatal)
1021 HITT ST
COLUMBIA, MO 65212
Boone County (573) 882-2272
MEGAN ELIZABETH WILLIAMS M.D.
Pediatrics (Pediatric Critical Care Medicine)
1021 HITT ST
COLUMBIA, MO 65212
Boone County (573) 882-2272
RACHNA RANI MAMIDI M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1021 HITT ST
COLUMBIA, MO 65212
Boone County (573) 882-2272

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 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.

Where is Christine Park located?

Christine Park practices at 1021 Hitt St, Columbia, MO 65212. The listed phone number is (573) 882-2272.

What is Christine Park's specialty?

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

Is Christine Park enrolled in Medicare?

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

Which organizations bill Medicare for Christine Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christine Park reassigns Medicare benefits to 2 organizations: The Curators Of The University Of Missouri (Columbia, MO) and Compass Health, Inc. (Warrenton, MO). 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 Christine Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Christine Park accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Christine 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 Christine Park was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.