JINA PARK AGPCNP-C
NPI 1306386354
Nurse Practitioner - Adult Health in Irving, TX

Q: What is Jina Park's NPI number?

The NPI number for Jina Park is 1306386354. It was assigned to this individual provider in the NPPES registry on February 23, 2017.

Q: What is Jina Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Jina Park was last updated on December 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 23, 2017PECOS Enrolled

6363 N STATE HIGHWAY 161 STE 100, IRVING, TX 75038(469) 200-3272 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 12, 2022, Mar 17, 2018, Nov 27, 2017 and 1 more (4 updates tracked since 2017).

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About Jina Park Agpcnp-c NPPES

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

JINA PARK AGPCNP-C (NPI 1306386354) is an individual adult health provider in Irving, Texas, licensed in Texas (AP132571) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306386354

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameJINA PARKCredential: AGPCNP-C

Location Address6363 N STATE HIGHWAY 161 STE 100Irving, TX 75038-2239

Mailing Address1601 N Belt Line Rd Ste BMesquite, TX 75149-1791 · (972) 329-3500

Phone(469) 200-3272

Sole ProprietorNo

Enumeration DateFebruary 23, 2017

Last NPPES UpdateDecember 12, 20224 updates tracked since enumeration

NPPES CertifiedDecember 12, 2022

✔ NPI 1306386354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in TX · AP132571

Also ListedRegistered NurseTaxonomy 163W00000X · License 810471 (TX)

6363 N STATE HIGHWAY 161 STE 100, Irving, TX 75038

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Secondary Practice Locations 2

Location 13600 Veronica DrFlower Mound, TX 75022-0977 · Phone (520) 609-5058

Location 21601 N Belt Line Rd Ste BMesquite, TX 75149-1791 · Phone (972) 329-3500

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jina Park Agpcnp-c 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 75038 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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.

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