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CLEOPATRA C PARK N.P.
NPI 1194839852
Nurse Practitioner - Pediatrics in Phoenix, AZ

Active since August 19, 2006PECOS Enrolled
3864 N 27TH AVE, PHOENIX, AZ 85017(602) 685-6000(602) 212-6250 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2022, Oct 22, 2020, Oct 7, 2020 (3 updates tracked since 2020).

About Cleopatra C Park N.p. NPPES

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

CLEOPATRA C PARK N.P. (NPI 1194839852) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (AP1818) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194839852
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameCLEOPATRA C PARKCredential: N.P.
Location Address3864 N 27TH AVEPhoenix, AZ 85017-4703
Mailing Address3003 N Central Ave Ste 400Phoenix, AZ 85012-2929 · (602) 685-6000 · Fax (602) 302-7925
Phone(602) 685-6000
Fax(602) 212-6250
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateJuly 18, 20223 updates tracked since enumeration
NPPES CertifiedJuly 18, 2022
✔ NPI 1194839852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in AZ · AP1818
Also ListedNurse PractitionerTaxonomy 363L00000X · License 076714 (AZ)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License AP1818 (AZ)
3864 N 27TH AVE, Phoenix, AZ 85017
Open in Google Maps ↗

Other Identifiers 1

Medicaid841264AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Health Plan, Inc..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)

Cleopatra C Park N.p. 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 85017 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

DR. HOLLY IRIS WILLIAMSON LISAC
Counselor (Addiction (Substance Use Disorder))
3864 N 27TH AVE
PHOENIX, AZ 85017
Maricopa County (602) 685-6000
JASMINE CANDELARIA LOPEZ LCSW
Social Worker (Clinical)
3864 N 27TH AVE
PHOENIX, AZ 85017
Maricopa County (602) 685-6000
LYNNE COCKRUM-MURPHY LISAC
Counselor (Addiction (Substance Use Disorder))
3864 N 27TH AVE
PHOENIX, AZ 85017
Maricopa County (602) 685-6000
MICHAEL SCHEMBER RPH
Pharmacist
3864 N 27TH AVE
PHOENIX, AZ 85017
Maricopa County (602) 358-0078
MRS. MARGARETT JANE FUGATE LCSW
Social Worker (Clinical)
3864 N 27TH AVE
PHOENIX, AZ 85017
Maricopa County (602) 685-6000
DR. KAREN MICHELLE MORROW LPC, PHD
Counselor (Mental Health)
3864 N 27TH AVE
PHOENIX, AZ 85017
Maricopa County (602) 685-6000
CHRISTINE QUEVAL-CHUNG FNP-BC
Nurse Practitioner (Family)
3864 N 27TH AVE
PHOENIX, AZ 85017
Maricopa County (602) 685-6000
PERLA JAZMINE BAUTISTA ROMAN
Social Worker (Clinical)
3864 N 27TH AVE
PHOENIX, AZ 85017
Maricopa County (602) 685-6000

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 Cleopatra Park's NPI number?

The NPI number for Cleopatra Park is 1194839852. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Cleopatra Park located?

Cleopatra Park practices at 3864 N 27th Ave, Phoenix, AZ 85017. The listed phone number is (602) 685-6000.

What is Cleopatra Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Cleopatra Park enrolled in Medicare?

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

What insurance does Cleopatra Park accept?

Health plans from Medica and Oscar Health Plan, Inc. list Cleopatra 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 Cleopatra Park was last updated on July 18, 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.