JOHN PARK
NPI 1326934415
Nurse Practitioner - Primary Care in Nashville, TN

Active since June 16, 2025PECOS EnrolledAccepts Medicare Assignment
461 21ST AVE S, NASHVILLE, TN 37240(615) 322-4400 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 2, 2026, Jun 16, 2025 (2 updates tracked since 2025).

About John Park NPPES

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

JOHN PARK (NPI 1326934415) is an individual primary care provider in Nashville, Tennessee, licensed in Maryland (AC008499) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (2025).

NPPES Registry Identity

NPI1326934415
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameJOHN PARK
Location Address461 21ST AVE SNashville, TN 37240-1104
Mailing Address8434 Red Eagle CtLorton, VA 22079-3048
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2025
Enumeration DateJune 16, 2025
Last NPPES UpdateJanuary 2, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2026
NPI 1326934415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in MD · AC008499
461 21ST AVE S, Nashville, TN 37240

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

John Park 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 ID840776746
PECOS Enrollment IDI20260109003650, I20260109003708
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 37240 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

Registered Nurse
461 21ST AVE S
NASHVILLE, TN 37240
Registered Nurse
461 21ST AVE S
NASHVILLE, TN 37240
Registered Nurse
461 21ST AVE S
NASHVILLE, TN 37240
Registered Nurse
461 21ST AVE S
NASHVILLE, TN 37240
Registered Nurse
461 21ST AVE S
NASHVILLE, TN 37240
Registered Nurse
461 21ST AVE S
NASHVILLE, TN 37240
Nurse Practitioner
461 21ST AVE S
NASHVILLE, TN 37240
Registered Nurse
461 21ST AVE S
NASHVILLE, TN 37240

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 John Park's NPI number?

The NPI number for John Park is 1326934415. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Where is John Park located?

John Park practices at 461 21st Ave S, Nashville, TN 37240. The listed phone number is (615) 322-4400.

What is John Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is John Park enrolled in Medicare?

Yes. John 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.

When was this NPI record last updated?

The NPPES record for John Park was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.