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NICOLE LUANNE PARK N.P.
NPI 1467708198
Nurse Practitioner - Adult Health in Palo Alto, CA

Active since July 31, 2012PECOS EnrolledAccepts Medicare Assignment
795 EL CAMINO REAL, CLARK BUILDING, LEVEL 3, PALO ALTO, CA 94301(650) 321-4121 Get Directions Write a Review

NPPES record last updated: October 12, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1467708198
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameNICOLE LUANNE PARKCredential: N.P.
Location Address795 EL CAMINO REAL, CLARK BUILDING, LEVEL 3Palo Alto, CA 94301-2302
Mailing Address2350 W El Camino Real, 2nd FloorMountain View, CA 94040-6203
Phone(650) 321-4121
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2012
Enumeration DateJuly 31, 2012
Last NPPES UpdateOctober 12, 2016
✔ NPI 1467708198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · 22103
Also ListedRegistered NurseTaxonomy 163W00000X · License 707298 (CA)
795 EL CAMINO REAL, Palo Alto, CA 94301
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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

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.

PECOS PAC ID4385875368
PECOS Enrollment IDI20140317001449
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
427 services69 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
231 services45 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
53 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
39 services39 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
28 services15 patients

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.

New Patient
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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 20

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

WENDY LEVINE OT
Occupational Therapist (Hand)
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-3355
MR. JOHN PATRICK TRENT PA-C
Physician Assistant
795 EL CAMINO REAL, URGENT CARE
PALO ALTO, CA 94301
Santa Clara County (650) 853-4761
DR. LISA SCHARP SAMUELSON M.D.
Pediatrics
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2992
HAIDEH PLOCK PT
Physical Therapist
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-3377
DR. DIPTI AGRAWAL MD
Internal Medicine (Infectious Disease)
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 321-4121
REBECCA FAZILAT MD
Pediatrics
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2916
JULIE ANNE LETSINGER MD
Dermatology
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 853-2982
THOMAS GASTON MD
Anesthesiology
795 EL CAMINO REAL
PALO ALTO, CA 94301
Santa Clara County (650) 321-4121

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.

When was this NPI record last updated?

The NPPES record for Nicole Park was last updated on October 12, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.