NICOLE LUANNE PARK N.P.
NPI 1467708198
Nurse Practitioner - Adult Health in Palo Alto, CA
About Nicole Luanne Park N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE LUANNE PARK N.P. (NPI 1467708198) is an individual adult health provider in Palo Alto, California, licensed in California (22103) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses 2
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
Nicole Luanne Park N.p. 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 Reassignment
Medicare enrollment records show Nicole Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Irvine, CA 92618
- Reassigned Medicare billing, California enrollment
- 13 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 5
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 94301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PALO ALTO, CA 94301
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 Nicole Park's NPI number?
The NPI number for Nicole Park is 1467708198. It was assigned to this individual provider in the NPPES registry on July 31, 2012.
Where is Nicole Park located?
Nicole Park practices at 795 El Camino Real Clark Building, Level 3, Palo Alto, CA 94301. The listed phone number is (650) 321-4121.
What is Nicole Park's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Nicole Park enrolled in Medicare?
Yes. Nicole 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 organization bills Medicare for Nicole Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Park reassigns Medicare benefits to Hasan Badday MD PC (Irvine, CA). 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 Nicole 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 Nicole Park was last updated on October 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Nicole Luanne Park, N.P. · NPI 1467708198
Adult Health physician in Palo Alto, California. Individual provider, active in the CMS NPPES registry since July 31, 2012.
## Identity
- **NPI:** 1467708198 (Entity type: Individual)
- **Enumerated:** July 31, 2012
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 22103 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 795 EL CAMINO REAL, CLARK BUILDING, LEVEL 3, Palo Alto, CA 94301-2302
- **Phone:** (650) 321-4121
## 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:** Hasan Badday MD PC (NPI 1972914133, Irvine, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Francisco School Of Medicine, class of 2012
## Record status
- **NPPES last updated:** October 12, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1467708198) · Data from the CMS NPPES public registry.