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BOBBI PARK FNP-C
NPI 1194179705
Nurse Practitioner - Family in Moline, IL

Active since April 20, 2016PECOS Enrolled
106 19TH AVE STE 103, MOLINE, IL 61265(309) 779-7050 Get Directions Write a Review

NPPES record last updated: April 20, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bobbi Park Fnp-c NPPES

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

BOBBI PARK FNP-C (NPI 1194179705) is an individual family provider in Moline, Illinois, licensed in Iowa (A121789) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194179705
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBOBBI PARKCredential: FNP-C
Location Address106 19TH AVE STE 103Moline, IL 61265-3700
Mailing Address106 19th Ave Ste 103Moline, IL 61265-3700 · (309) 779-7050
Phone(309) 779-7050
Sole ProprietorNo
Enumeration DateApril 20, 2016
✔ NPI 1194179705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IA · A121789
106 19TH AVE STE 103, Moline, IL 61265
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bobbi Park Fnp-c 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.

Medicare Billing Reassignment

Medicare enrollment records show Bobbi Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Amana Medical Care, Inc.
5.9 mi
Urgent Care
2162 W KIMBERLY RD
Davenport, IA 52806
  • Reassigned Medicare billing, Iowa enrollment
  • 5 clinicians in this Medicare group
NPI 1306235072 (563) 388-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
278 services214 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
82 services82 patients
Removal of external hemorrhoids by rubber banding 46221
Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.
27 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61265 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANN FOTIADIS KANDIS M.D.
Family Medicine
106 19TH AVE STE 103
MOLINE, IL 61265
Rock Island County (309) 779-7050
KELLY HORNICK
Nurse Practitioner (Acute Care)
106 19TH AVE STE 103
MOLINE, IL 61265
Rock Island County (309) 779-7050

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 Bobbi Park's NPI number?

The NPI number for Bobbi Park is 1194179705. It was assigned to this individual provider in the NPPES registry on April 20, 2016.

Where is Bobbi Park located?

Bobbi Park practices at 106 19th Ave Ste 103, Moline, IL 61265. The listed phone number is (309) 779-7050.

What is Bobbi Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Bobbi Park enrolled in Medicare?

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

Which organization bills Medicare for Bobbi Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bobbi Park reassigns Medicare benefits to Amana Medical Care, Inc. (Davenport, IA). The 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 Bobbi Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bobbi Park was last updated on April 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.