DR. GLORIA PARK APRN/RN
NPI 1336770205
Nurse Practitioner - Psychiatric/Mental Health in Clay Center, KS

Q: What is Gloria Park's NPI number?

The NPI number for Gloria Park is 1336770205. It was assigned to this individual provider in the NPPES registry on January 30, 2020.

Q: What is Gloria Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Gloria Park was last updated on March 18, 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.

Active since January 30, 2020PECOS EnrolledAccepts Medicare Assignment

609 LIBERTY ST, CLAY CENTER, KS 67432(785) 632-2181 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 19, 2021, Jan 30, 2020 (2 updates tracked since 2020).

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About Dr. Gloria Park Aprn/rn NPPES

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

DR. GLORIA PARK APRN/RN (NPI 1336770205) is an individual psychiatric/mental health provider in Clay Center, Kansas, licensed in Kansas (79172) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Clay County Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1336770205

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDR. GLORIA PARKCredential: APRN/RN

Location Address609 LIBERTY STClay Center, KS 67432-1564

Mailing Address609 Liberty StClay Center, KS 67432-1564 · (785) 632-2181

Phone(785) 632-2181

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 30, 2020

Last NPPES UpdateMarch 18, 20242 updates tracked since enumeration

NPPES CertifiedMarch 18, 2024

✔ NPI 1336770205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in KS · 79172

Also ListedRegistered NurseTaxonomy 163W00000X · License 116035 (KS)

609 LIBERTY ST, Clay Center, KS 67432

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Oscar Insurance Company, UnitedHealthcare.Insurance ›

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

Dr. Gloria Park Aprn/rn 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 ID547684318

PECOS Enrollment IDI20200727001985

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.

Hospital Affiliations CMS Care Compare

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

Clay County Medical Center

Critical Access Hospitals · Clay Center, KS

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number171371

Location617 LibertyClay Center, KS 67432 · Clay County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67432 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

TIMOTHY M. PENNER M.D.

Family Medicine