JEANNA PARK
NPI 1255564274
Obstetrics & Gynecology in Seattle, WA

Q: 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.

Q: What is Jeanna Park's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeanna Park was last updated on April 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 25, 2009PECOS Enrolled

310 15TH AVE E, SEATTLE, WA 98112(206) 326-3000 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

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

NPI1255564274

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameJEANNA PARK

Location Address310 15TH AVE ESeattle, WA 98112-5103

Mailing Address310 15th Ave ESeattle, WA 98112-5103 · (206) 326-3000

Phone(206) 326-3000

Sole ProprietorNo

Enumeration DateAugust 25, 2009

Last NPPES UpdateApril 28, 2021

NPPES CertifiedApril 28, 2021

✔ NPI 1255564274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in WA · 60566256

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

310 15TH AVE E, Seattle, WA 98112

Open in Google Maps ↗

Secondary Practice Location 1

Location 116122 8th Ave SW, E-5Burien, WA 98166-2967 · Phone (206) 241-0824 · Fax (206) 243-8002

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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)

Jeanna Park 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 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.

New Patient

$143.76 typical visit price

range $63.67 – $189.37

Typical copayment $35.94 (range $15.91 – $47.34)

Most-billed visit code 99204

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

Most-billed visit code 99213

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.

DELFRED LAURIE CHRIS DIEHL M.D., FRCSC

Ophthalmology

310 15TH AVE E, GROUP HEALTH COOPERATIVE: OPHTHALMOLOGY CNB-5
SEATTLE, WA 98112

King County (206) 326-3131

DAVID I. CHARNEY M.D.

Internal Medicine (Nephrology)