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JEE YEAH PARK PMHNP
NPI 1457701807
Nurse Practitioner - Psychiatric/Mental Health in Worcester, MA

Active since June 16, 2016PECOS Enrolled
199 CHANDLER ST, WORCESTER, MA 01609(508) 860-7888(508) 796-7053 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 9, 2022, Apr 10, 2020, Mar 9, 2020 and 1 more (4 updates tracked since 2016).

About Jee Yeah Park Pmhnp NPPES

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

JEE YEAH PARK PMHNP (NPI 1457701807) is an individual psychiatric/mental health provider in Worcester, Massachusetts, licensed in Massachusetts (RN2322449) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1457701807
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJEE YEAH PARKCredential: PMHNP
Location Address199 CHANDLER STWorcester, MA 01609-3088
Mailing Address199 Chandler StWorcester, MA 01609-3088 · (508) 860-7888 · Fax (508) 796-7053
Phone(508) 860-7888
Fax(508) 796-7053
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 16, 2016
Last NPPES UpdateAugust 9, 20224 updates tracked since enumeration
NPPES CertifiedAugust 9, 2022
✔ NPI 1457701807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MA · RN2322449
199 CHANDLER ST, Worcester, MA 01609
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jee Yeah Park Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951732718
PECOS Enrollment IDI20200511002216
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 Reassignment

Medicare enrollment records show Jee Yeah Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Health Center Of Worcester, Inc.
0.2 mi
Federally Qualified Health Center (FQHC)
26 QUEEN ST, MEDICAL SERVICES
Worcester, MA 01610
  • Reassigned Medicare billing, Massachusetts enrollment
  • 110 clinicians in this Medicare group
NPI 1841200664 (508) 860-7962

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 01609 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEAN HURLEY
Family Medicine
199 CHANDLER ST
WORCESTER, MA 01609
Worcester County (508) 860-7888
JESSICA CEFALU LICSW
Social Worker
199 CHANDLER ST
WORCESTER, MA 01609
Worcester County (508) 860-7888
MERREDITH MOREAU CNP
Nurse Practitioner (Adult Health)
199 CHANDLER ST
WORCESTER, MA 01609
Worcester County (508) 860-7888
ANGELINA MARIA COCO DNP
Nurse Practitioner (Gerontology)
199 CHANDLER ST
WORCESTER, MA 01609
Worcester County (508) 860-7888

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 Jee Yeah Park's NPI number?

The NPI number for Jee Yeah Park is 1457701807. It was assigned to this individual provider in the NPPES registry on June 16, 2016.

Where is Jee Yeah Park located?

Jee Yeah Park practices at 199 Chandler St, Worcester, MA 01609. The listed phone number is (508) 860-7888.

What is Jee Yeah Park's specialty?

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

Is Jee Yeah Park enrolled in Medicare?

Yes. Jee Yeah Park is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jee Yeah Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jee Yeah Park reassigns Medicare benefits to Family Health Center Of Worcester, Inc. (Worcester, MA). The 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 Jee Yeah Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jee Yeah Park accept?

Health plans from Harvard Pilgrim Health Care list Jee Yeah 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.

When was this NPI record last updated?

The NPPES record for Jee Yeah Park was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.