IVAN YOUNG PARK APRN
NPI 1154076099
Nurse Practitioner - Acute Care in Austin, TX

Q: What is Ivan Park's NPI number?

The NPI number for Ivan Park is 1154076099. It was assigned to this individual provider in the NPPES registry on February 18, 2022.

Q: What is Ivan 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 Ivan Park was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 February 18, 2022PECOS EnrolledAccepts Medicare Assignment

1208 W 38TH ST, AUSTIN, TX 78705(512) 324-1000 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ivan Young Park Aprn NPPES

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

IVAN YOUNG PARK APRN (NPI 1154076099) is an individual acute care provider in Austin, Texas, licensed in Texas (AP1072471) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of University Of Texas Medical Branch At Galveston (2021).

NPPES Registry Identity

NPI1154076099

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameIVAN YOUNG PARKCredential: APRN

Location Address1208 W 38TH STAustin, TX 78705-1006

Mailing Address9811 Oak Run DrAustin, TX 78758-5545 · (512) 598-5840

Phone(512) 324-1000

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2021

Enumeration DateFebruary 18, 2022

Last NPPES UpdateMarch 17, 2022

NPPES CertifiedMarch 17, 2022

✔ NPI 1154076099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LA2100X

License✔ Licensed in TX · AP1072471

1208 W 38TH ST, Austin, TX 78705

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit 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

Ivan Young Park Aprn 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 ID345635439

PECOS Enrollment IDI20220329000262

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.

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450056

Location1201 W 38th StAustin, TX 78705 · Travis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

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.

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 Ivan Park's NPI number?

The NPI number for Ivan Park is 1154076099. It was assigned to this individual provider in the NPPES registry on February 18, 2022.

Where is Ivan Park located?

Ivan Park practices at 1208 W 38th St, Austin, TX 78705. The listed phone number is (512) 324-1000.

What is Ivan Park's specialty?

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

Is Ivan Park enrolled in Medicare?

Yes. Ivan 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 Ivan Park accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Ivan 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 Ivan Park affiliated with any hospitals?

According to CMS data, Ivan Park is affiliated with Ascension Seton Medical Center Austin.

When was this NPI record last updated?

The NPPES record for Ivan Park was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.