JEANNA PARK
NPI 1255564274
Obstetrics & Gynecology in Seattle, WA
About Jeanna Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEANNA PARK (NPI 1255564274) is an individual obstetrics & gynecology provider in Seattle, Washington, licensed in Washington (60566256) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Burien.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeanna Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeanna Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Seattle, WA 98109
- Reassigned Medicare billing, Washington enrollment
- 2,678 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jeanna Park's NPI number?
The NPI number for Jeanna Park is 1255564274. It was assigned to this individual provider in the NPPES registry on August 25, 2009.
Where is Jeanna Park located?
Jeanna Park practices at 310 15th Ave E, Seattle, WA 98112. The listed phone number is (206) 326-3000.
What is Jeanna Park's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Jeanna Park enrolled in Medicare?
Yes. Jeanna Park is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jeanna Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeanna Park reassigns Medicare benefits to Kaiser Foundation Health Plan Of Washington (Seattle, WA). 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 Jeanna Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeanna Park accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Jeanna 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 Jeanna Park was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Jeanna Park · NPI 1255564274
Obstetrics & Gynecology physician in Seattle, Washington. Individual provider, active in the CMS NPPES registry since August 25, 2009.
## Identity
- **NPI:** 1255564274 (Entity type: Individual)
- **Enumerated:** August 25, 2009
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 60566256 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 310 15TH AVE E, Seattle, WA 98112-5103
- **Phone:** (206) 326-3000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of Washington (NPI 1396810701, Seattle, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 28, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1255564274) · Data from the CMS NPPES public registry.