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THERESA HYEJIN PARK FNP-BC
NPI 1285219147
Nurse Practitioner - Family in Washington, DC

Active since March 12, 2021PECOS EnrolledAccepts Medicare Assignment
81.28/100
CMS Quality Rating
110 IRVING ST NW, WASHINGTON, DC 20010(202) 877-7783(410) 230-7834 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theresa Hyejin Park Fnp-bc NPPES

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

THERESA HYEJIN PARK FNP-BC (NPI 1285219147) is an individual family provider in Washington, District Of Columbia, licensed in District Of Columbia (RN1031488) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and is a graduate of George Washington University School Of Medicine (2020).

NPPES Registry Identity

NPI1285219147
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHERESA HYEJIN PARKCredential: FNP-BC
Location Address110 IRVING ST NWWashington, DC 20010-3017
Mailing Address2726 Gallows Rd Apt 1112Vienna, VA 22180-7152 · (443) 800-5613
Phone(202) 877-7783
Fax(410) 230-7834
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2020
Enumeration DateMarch 12, 2021
NPPES CertifiedMarch 12, 2021
✔ NPI 1285219147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in DC · RN1031488✔ Licensed in VA · 0024180094
110 IRVING ST NW, Washington, DC 20010
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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

Theresa Hyejin Park Fnp-bc 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 ID6103233234
PECOS Enrollment IDI20210407001725, I20231004003803
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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20010 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.77
Promoting Interoperability100
Improvement Activities40
Cost66.84

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.

MS. JANET E JUMPER N.P.
Nurse Practitioner (Acute Care)
110 IRVING ST NW, 4B42
WASHINGTON, DC 20010
District of Columbia (202) 877-7462
EMILY JEAN SIEGEL MD
Student in an Organized Health Care Education/Training Program
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-8080
KIMBERLY SMITH
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (301) 902-1073
MISS ORE-OLUWA ODULANA LIMA DA SILVA CRNA
Nurse Anesthetist, Certified Registered
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-7504
DR. FAY HORNG M.D.
Anesthesiology
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-7504
DR. MICHAEL B SHVARTS MD
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-7000
DR. SCOTT THOMAS MARTYNA D.M.D.
Student in an Organized Health Care Education/Training Program
110 IRVING ST NW, DEPT. OF ORAL AND MAXILLOFACIAL SURGERY
WASHINGTON, DC 20010
District of Columbia (202) 877-7332
MS. NOOR-UL-HUDA AMER MEHDI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
110 IRVING ST NW
WASHINGTON, DC 20010
District of Columbia (202) 877-7000

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 Theresa Park's NPI number?

The NPI number for Theresa Park is 1285219147. It was assigned to this individual provider in the NPPES registry on March 12, 2021.

Where is Theresa Park located?

Theresa Park practices at 110 Irving St NW, Washington, DC 20010. The listed phone number is (202) 877-7783.

What is Theresa Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Theresa Park enrolled in Medicare?

Yes. Theresa 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.

Is Theresa Park affiliated with any hospitals?

According to CMS data, Theresa Park is affiliated with Inova Fairfax Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Park was last updated on March 12, 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.