JUNE PARK PA-C
NPI 1457072837
Physician Assistant in Minneapolis, MN

Q: What is June Park's NPI number?

The NPI number for June Park is 1457072837. It was assigned to this individual provider in the NPPES registry on September 6, 2022.

Q: What is June Park's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for June Park was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since September 06, 2022PECOS EnrolledAccepts Medicare Assignment

2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454(612) 273-3000 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2025, Sep 6, 2022 (2 updates tracked since 2022).

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About June Park Pa-c NPPES

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

JUNE PARK PA-C (NPI 1457072837) is an individual physician assistant in Minneapolis, Minnesota, licensed in Minnesota (15123) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1457072837

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJUNE PARKCredential: PA-C

Location Address2450 RIVERSIDE AVEMinneapolis, MN 55454-1450

Mailing Address516 Delaware St Se # 11-132Minneapolis, MN 55455-0356

Phone(612) 273-3000

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 6, 2022

Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration

NPPES CertifiedAugust 11, 2025

✔ NPI 1457072837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MN · 15123

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2450 RIVERSIDE AVE, Minneapolis, MN 55454

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

June Park Pa-c 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 ID4981128204

PECOS Enrollment IDI20250408003275

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.

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240080

Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55454 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

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.

MICHELLE IRENE GRAY

Rehabilitation Practitioner