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ANNE PARK FNP
NPI 1417650896
Nurse Practitioner in Las Vegas, NV

Active since March 23, 2023PECOS Enrolled
11401 ROBBIA DR, LAS VEGAS, NV 89138(818) 336-2192 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 28, 2023, Mar 23, 2023 (2 updates tracked since 2023).

About Anne Park Fnp NPPES

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

ANNE PARK FNP (NPI 1417650896) is an individual nurse practitioner in Las Vegas, Nevada, licensed in Nevada (817289) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417650896
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANNE PARKCredential: FNP
Location Address11401 ROBBIA DRLas Vegas, NV 89138-1507
Mailing Address11401 Robbia DrLas Vegas, NV 89138-1507 · (818) 336-2192
Phone(818) 336-2192
Sole ProprietorNo
Enumeration DateMarch 23, 2023
Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration
NPPES CertifiedMarch 28, 2023
✔ NPI 1417650896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NV · 817289
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
11401 ROBBIA DR, Las Vegas, NV 89138
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anne Park Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Ming-Wei Wu, Inc
7.7 mi
Surgery
3750 S JONES BLVD STE 120
Las Vegas, NV 89103
  • Reassigned Medicare billing, Nevada enrollment
  • 16 clinicians in this Medicare group
NPI 1699975144 (702) 434-8880
Julie Wu, Inc
8.2 mi
Primary Care
5380 S RAINBOW BLVD STE 320
Las Vegas, NV 89118
  • Reassigned Medicare billing, Nevada enrollment
  • 15 clinicians in this Medicare group
NPI 1942400494 (702) 434-8880

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89138 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

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 Anne Park's NPI number?

The NPI number for Anne Park is 1417650896. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Anne Park located?

Anne Park practices at 11401 Robbia Dr, Las Vegas, NV 89138. The listed phone number is (818) 336-2192.

What is Anne Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Anne Park enrolled in Medicare?

Yes. Anne Park is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Anne Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anne Park reassigns Medicare benefits to 2 organizations: Ming-Wei Wu, Inc (Las Vegas, NV) and Julie Wu, Inc (Las Vegas, NV). 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 Anne 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 Anne Park was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.