MARINEL ABELLADA PARK DNP,PMHNP
NPI 1417314485
Nurse Practitioner in Hesperia, CA
About Marinel Abellada Park Dnp,pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARINEL ABELLADA PARK DNP,PMHNP (NPI 1417314485) is an individual nurse practitioner in Hesperia, California, licensed in California (95006519) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Marinel Abellada Park Dnp,pmhnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Marinel Park reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Victorville, CA 92395
- Reassigned Medicare billing, California enrollment
- 12 clinicians in this Medicare group
Carlsbad, CA 92008
- Reassigned Medicare billing, California enrollment
- 223 clinicians in this Medicare group
Fresno, CA 93720
- Reassigned Medicare billing, California enrollment
- 142 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92345 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HESPERIA, CA 92345
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 Marinel Park's NPI number?
The NPI number for Marinel Park is 1417314485. It was assigned to this individual provider in the NPPES registry on January 21, 2016.
Where is Marinel Park located?
Marinel Park practices at 16453 Bear Valley Rd, Hesperia, CA 92345. The listed phone number is (800) 722-4777.
What is Marinel Park's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Marinel Park enrolled in Medicare?
Yes. Marinel 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 Marinel Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marinel Park reassigns Medicare benefits to 3 organizations: Choice Urgent Care (Victorville, CA), Memory Check Psychological Services, A Professional Corporation (Carlsbad, CA) and Camarena Health (Fresno, CA). 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 Marinel Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marinel Park was last updated on July 2, 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.
# Marinel Abellada Park, DNP,PMHNP · NPI 1417314485
Nurse Practitioner physician in Hesperia, California. Individual provider, active in the CMS NPPES registry since January 21, 2016.
## Identity
- **NPI:** 1417314485 (Entity type: Individual)
- **Enumerated:** January 21, 2016
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95006519 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 16453 BEAR VALLEY RD, Hesperia, CA 92345-1752
- **Phone:** (800) 722-4777
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Choice Urgent Care (NPI 1316774243, Victorville, CA); Memory Check Psychological Services, A Professional Corporation (NPI 1912184219, Carlsbad, CA); Camarena Health (NPI 1841815347, Fresno, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** July 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1417314485) · Data from the CMS NPPES public registry.