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JOANN PARK MD
NPI 1316396906
Psychiatry & Neurology - Child & Adolescent Psychiatry in Indianapolis, IN

Active since June 06, 2016PECOS EnrolledAccepts Medicare Assignment
1002 WISHARD BLVD STE 4110, INDIANAPOLIS, IN 46202(317) 944-8162(317) 944-8163 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2024, Jul 18, 2024, Sep 28, 2021 and 1 more (4 updates tracked since 2020).

About Joann Park Md NPPES

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

JOANN PARK MD (NPI 1316396906) is an individual child & adolescent psychiatry provider in Indianapolis, Indiana, licensed in Indiana (01092460A) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sacramento, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1316396906
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameJOANN PARKCredential: MD
Location Address1002 WISHARD BLVD STE 4110Indianapolis, IN 46202-4164
Mailing Address1002 Wishard Blvd Ste 4110Indianapolis, IN 46202-4164 · (317) 944-8162
Phone(317) 944-8162
Fax(317) 944-8163
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 6, 2016
Last NPPES UpdateSeptember 17, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1316396906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in IN · 01092460A✔ Licensed in CA · A151063
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 01092460A (IN)
1002 WISHARD BLVD STE 4110, Indianapolis, IN 46202
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Secondary Practice Location 1

Location 12230 Stockton BlvdSacramento, CA 95817-1353 · Phone (916) 734-2614

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joann Park Md 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 ID547658684
PECOS Enrollment IDI20240725003006
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

3

Medicare enrollment records show Joann Park reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Iu Health Medical Group Riley Specialists, LLC
0.3 mi
Pediatrics
705 RILEY HOSPITAL DR
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 523 clinicians in this Medicare group
NPI 1699561480 (317) 944-5000
Indiana University Health Care Associates, Inc
0.6 mi
General Practice
340 W TENTH ST
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 1,781 clinicians in this Medicare group
NPI 1902032832 (317) 278-3505
Iu Health Medical Group, LLC
1.0 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JANISE LORRAINE WINSTON LMHC
Counselor (Mental Health)
1002 WISHARD BLVD STE 4110
INDIANAPOLIS, IN 46202
Marion County (317) 944-8162
DARRIN RAY MCCLURE LCSW
Social Worker (Clinical)
1002 WISHARD BLVD STE 4110
INDIANAPOLIS, IN 46202
Marion County (317) 358-7564
CAILIN COLEMAN LCSW
Social Worker (Clinical)
1002 WISHARD BLVD STE 4110
INDIANAPOLIS, IN 46202
Marion County (463) 246-2065
BRIGID R MARRIOTT PHD
Psychologist (Clinical)
1002 WISHARD BLVD STE 4110
INDIANAPOLIS, IN 46202
Marion County (317) 944-8162
JANET LYDECKER PHD
Psychologist (Clinical)
1002 WISHARD BLVD STE 4110
INDIANAPOLIS, IN 46202
Marion County (317) 944-8162
DR. ELIZABETH ANN LINXWILER DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1002 WISHARD BLVD STE 4110
INDIANAPOLIS, IN 46202
Marion County (317) 944-8162
ZACHARY W ADAMS PHD
Psychologist (Clinical)
1002 WISHARD BLVD STE 4110
INDIANAPOLIS, IN 46202
Marion County (317) 963-7391
ERIN TULLY LMHC
Counselor (Mental Health)
1002 WISHARD BLVD STE 4110
INDIANAPOLIS, IN 46202
Marion County (317) 944-8162

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 Joann Park's NPI number?

The NPI number for Joann Park is 1316396906. It was assigned to this individual provider in the NPPES registry on June 6, 2016.

Where is Joann Park located?

Joann Park practices at 1002 Wishard Blvd Ste 4110, Indianapolis, IN 46202. The listed phone number is (317) 944-8162.

What is Joann Park's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Joann Park enrolled in Medicare?

Yes. Joann 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.

Which organizations bill Medicare for Joann Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joann Park reassigns Medicare benefits to 3 organizations: Iu Health Medical Group Riley Specialists, LLC (Indianapolis, IN), Indiana University Health Care Associates, Inc (Indianapolis, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). 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 Joann Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joann Park accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Cigna Healthcare list Joann 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 Joann Park was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.