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KRISTEN PARK
NPI 1174981229
Advanced Practice Midwife in Berkeley, CA

Active since February 03, 2016PECOS Enrolled
2404 DANA ST, APT B, BERKELEY, CA 94704(408) 636-8431 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2024, May 20, 2021, Feb 3, 2016 (3 updates tracked since 2016).

About Kristen Park NPPES

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

KRISTEN PARK (NPI 1174981229) is an individual advanced practice midwife in Berkeley, California, licensed in California (236164) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174981229
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameKRISTEN PARK
Location Address2404 DANA ST, APT BBerkeley, CA 94704-2574
Mailing Address1100 Veterans BlvdRedwood City, CA 94063-2037
Phone(408) 636-8431
Sole ProprietorYes
Enumeration DateFebruary 3, 2016
Last NPPES UpdateMay 8, 20243 updates tracked since enumeration
NPPES CertifiedMay 2, 2021
✔ NPI 1174981229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in CA · 236164
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
2404 DANA ST, Berkeley, CA 94704
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristen Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94704 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
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 Kristen Park's NPI number?

The NPI number for Kristen Park is 1174981229. It was assigned to this individual provider in the NPPES registry on February 3, 2016.

Where is Kristen Park located?

Kristen Park practices at 2404 Dana St Apt B, Berkeley, CA 94704. The listed phone number is (408) 636-8431.

What is Kristen Park's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Kristen Park enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kristen Park was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.