DR. SEA MI PARK M.D. ,PH.D.
NPI 1215295563
Psychiatry & Neurology - Vascular Neurology in Olympia, WA

Q: What is Sea Mi Park's NPI number?

The NPI number for Sea Mi Park is 1215295563. It was assigned to this individual provider in the NPPES registry on April 24, 2012.

Q: What is Sea Mi Park's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Vascular Neurology, with taxonomy code 2084V0102X.

Q: When was this NPI record last updated?

The NPPES record for Sea Mi Park was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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 April 24, 2012PECOS EnrolledAccepts Medicare Assignment

525 LILLY RD NE STE 210, OLYMPIA, WA 98506(360) 413-8550(360) 413-8827 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2025, Nov 18, 2020, Oct 2, 2019 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Sea Mi Park M.d. ,ph.d. NPPES

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

DR. SEA MI PARK M.D. ,PH.D. (NPI 1215295563) is an individual vascular neurology provider in Olympia, Washington, licensed in Washington (MD61640992) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Providence Centralia Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1215295563

Entity TypeIndividualFemale

Primary Taxonomy2084V0102X

Provider Legal NameDR. SEA MI PARKCredential: M.D. ,PH.D.

Location Address525 LILLY RD NE STE 210Olympia, WA 98506-5101

Mailing Address525 Lilly Rd Ne Ste 210Olympia, WA 98506-5101 · (360) 413-8550

Phone(360) 413-8550

Fax(360) 413-8827

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateApril 24, 2012

Last NPPES UpdateMay 8, 20254 updates tracked since enumeration

NPPES CertifiedMay 8, 2025

✔ NPI 1215295563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Vascular NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084V0102X

License✔ Licensed in WA · MD61640992

Definition

Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License MD61640992 (WA)

525 LILLY RD NE STE 210, Olympia, WA 98506

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Dr. Sea Mi Park M.d. ,ph.d. 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 ID8527332493

PECOS Enrollment IDI20250313004015

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.

Areas of Expertise CMS Part B claims 2

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

88 services88 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

62 services46 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Centralia Hospital

Acute Care Hospitals · Centralia, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number500019

Location914 S Scheuber RoadCentralia, WA 98531 · Lewis County

Emergency services Birthing friendly

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500024

Location413 Lilly Road NEOlympia, WA 98506 · Thurston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 4

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

BINOD WAGLE MD

Psychiatry & Neurology (Neurology)

525 LILLY RD NE STE 210
OLYMPIA, WA 98506

Thurston County (360) 413-8550

YOUNGBIN CHOI M.D.

Psychiatry & Neurology (Neurology)

525 LILLY RD NE STE 210
OLYMPIA, WA 98506

Thurston County (360) 413-8550

SHRAVANI REDDY NALLA M.D

Psychiatry & Neurology (Neurology)

525 LILLY RD NE STE 210
OLYMPIA, WA 98506

Thurston County (360) 413-8550

MRS. CRYSTAL PAGE WILMOT MSN, APRN, NP-C

Nurse Practitioner

525 LILLY RD NE STE 210
OLYMPIA, WA 98506

Thurston County (360) 413-8550

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 Sea Mi Park's NPI number?

The NPI number for Sea Mi Park is 1215295563. It was assigned to this individual provider in the NPPES registry on April 24, 2012.

Where is Sea Mi Park located?

Sea Mi Park practices at 525 Lilly Rd NE Ste 210, Olympia, WA 98506. The listed phone number is (360) 413-8550.

What is Sea Mi Park's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Vascular Neurology, with taxonomy code 2084V0102X.

Is Sea Mi Park enrolled in Medicare?

Yes. Sea Mi 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 Sea Mi Park accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Sea Mi 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 Sea Mi Park affiliated with any hospitals?

According to CMS data, Sea Mi Park is affiliated with Providence Centralia Hospital and Providence St Peter Hospital.

When was this NPI record last updated?

The NPPES record for Sea Mi Park was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.