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CHELSIA PARK O.D.
NPI 1306109442
Optometrist in Chinle, AZ

Active since June 22, 2012PECOS Enrolled
HOSPITAL DRIVE OFF HIGHWAY 191, CHINLE, AZ 86503(928) 674-7160 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Chelsia Park O.d. NPPES

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

CHELSIA PARK O.D. (NPI 1306109442) is an individual optometrist in Chinle, Arizona, licensed in California (14452) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306109442
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameCHELSIA PARKCredential: O.D.
Location AddressHOSPITAL DRIVE OFF HIGHWAY 191Chinle, AZ 86503-8000
Mailing AddressPo Box PhChinle, AZ 86503-8000 · (928) 674-7160
Phone(928) 674-7160
Sole ProprietorYes
Enumeration DateJune 22, 2012
Last NPPES UpdateFebruary 11, 2022
✔ NPI 1306109442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 14452
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
HOSPITAL DRIVE OFF HIGHWAY 191, Chinle, AZ 86503
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chelsia Park O.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Chelsia Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Taos Picuris Health Center
225 mi
Clinic/Center
1090 GOAT SPRINGS ROAD
Taos, NM 87571
  • Reassigned Medicare billing, Texas enrollment
  • 67 clinicians in this Medicare group
NPI 1548372071 (575) 758-6978
Permanente Medical Group Inc
660 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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 86503 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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 Chelsia Park's NPI number?

The NPI number for Chelsia Park is 1306109442. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Where is Chelsia Park located?

Chelsia Park practices at Hospital Drive Off Highway 191, Chinle, AZ 86503. The listed phone number is (928) 674-7160.

What is Chelsia Park's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Chelsia Park enrolled in Medicare?

Yes. Chelsia Park is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Chelsia Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chelsia Park reassigns Medicare benefits to 2 organizations: Taos Picuris Health Center (Taos, NM) and Permanente Medical Group Inc (Stockton, CA). 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 Chelsia Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chelsia Park was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.