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

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: October 25, 2026.

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

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 Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Sea Mi Park reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services Washington
Same address
Family Medicine
525 LILLY RD NE
Olympia, WA 98506
  • Reassigned Medicare billing, Washington enrollment
  • 646 clinicians in this Medicare group
NPI 1174744304 (360) 793-7230
Community Health Partners
722 mi
Multi-Specialty
7257 N FRESNO ST
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 604 clinicians in this Medicare group
NPI 1952912420 (559) 324-4952
New Jersey Brain & Spine PC
2,426 mi
Neurological Surgery
650 FROM RD STE 220
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 33 clinicians in this Medicare group
NPI 1063537470 (201) 342-2550

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 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 5

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
CHRISTINE STEVENS
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.

Which organizations bill Medicare for Sea Mi Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sea Mi Park reassigns Medicare benefits to 3 organizations: Providence Health & Services Washington (Olympia, WA), Community Health Partners (Fresno, CA) and New Jersey Brain & Spine PC (Paramus, NJ). Each 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 Sea Mi Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sea Mi Park accept?

Health plans from Ambetter Health, 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 17 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.