Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

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: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2026, Feb 19, 2021, Jan 30, 2020 (3 updates tracked since 2020).

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 maintains 2 additional practice locations.

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
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 30, 2020
Last NPPES UpdateOctober 6, 20263 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ 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

Secondary Practice Locations 2

Location 1701 Schurle WayRiley, KS 66531-9576 · Phone (785) 485-2600
Location 2617 Liberty StClay Center, KS 67432-1564 · Phone (785) 632-2144

Accepted 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

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.

Medicare Billing Reassignments

2

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

Health Service
609 LIBERTY ST
Clay Center, KS 67432
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1265485817 (Kansas)
  • 49 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
2001 CLAFLIN RD
Manhattan, KS 66502
  • Reassigned Medicare billing, Kansas enrollment
  • 57 clinicians in this Medicare group

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

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.

Nurse Practitioner (Psychiatric/Mental Health)
609 LIBERTY ST
CLAY CENTER, KS 67432
Family Medicine
609 LIBERTY ST
CLAY CENTER, KS 67432
Family Medicine
609 LIBERTY ST
CLAY CENTER, KS 67432
Clinic/Center (Health Service)
609 LIBERTY ST
CLAY CENTER, KS 67432
Nurse Practitioner
609 LIBERTY ST
CLAY CENTER, KS 67432
Nurse Practitioner (Family)
609 LIBERTY ST
CLAY CENTER, KS 67432
Nurse Practitioner (Family)
609 LIBERTY ST
CLAY CENTER, KS 67432
Family Medicine
609 LIBERTY ST
CLAY CENTER, KS 67432

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 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.

Where is Gloria Park located?

Gloria Park practices at 609 Liberty St, Clay Center, KS 67432. The listed phone number is (785) 632-2181.

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.

Is Gloria Park enrolled in Medicare?

Yes. Gloria 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 Gloria Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gloria Park reassigns Medicare benefits to 2 organizations: Clay County Medical Center (Clay Center, KS) and Pawnee Mental Health Service, Inc. (Manhattan, KS). 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 Gloria Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gloria Park accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 2 other insurers list Gloria 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.

Is Gloria Park affiliated with any hospitals?

According to CMS data, Gloria Park is affiliated with Clay County Medical Center.

When was this NPI record last updated?

The NPPES record for Gloria Park was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.