1. Home
  2. Directory
  3. Illinois
  4. Champaign
  5. Nurse Practitioner
  6. NPI Profile

JOHN JOOHUN PARK APRN
NPI 1477389773
Nurse Practitioner - Family in Champaign, IL

Active since September 12, 2024PECOS EnrolledAccepts Medicare Assignment
1907 W SPRINGFIELD AVE STE B, CHAMPAIGN, IL 61821(217) 530-0220 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About John Joohun Park Aprn NPPES

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

JOHN JOOHUN PARK APRN (NPI 1477389773) is an individual family provider in Champaign, Illinois, licensed in Illinois (209030497) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1477389773
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOHN JOOHUN PARKCredential: APRN
Location Address1907 W SPRINGFIELD AVE STE BChampaign, IL 61821-3098
Mailing Address1907 W Springfield Ave Ste BChampaign, IL 61821-3098 · (217) 530-0220
Phone(217) 530-0220
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 12, 2024
Last NPPES UpdateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
✔ NPI 1477389773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209030497
Also ListedInternal MedicineTaxonomy 207R00000X · License 209030497 (IL)
1907 W SPRINGFIELD AVE STE B, Champaign, IL 61821
Open in Google Maps ↗

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

John Joohun Park Aprn 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 ID6608307772
PECOS Enrollment IDI20240930002714
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

3

Medicare enrollment records show John Park reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chambana Urgent Care And Walk In Clinic
Same address
Urgent Care
1907 W SPRINGFIELD AVE STE B
Champaign, IL 61821
  • Reassigned Medicare billing, Illinois enrollment
  • 6 clinicians in this Medicare group
NPI 1770358871 (872) 346-8918
Kirby Medical Center
15 mi
Family Medicine
1000 MEDICAL CENTER DR
Monticello, IL 61856
  • Reassigned Medicare billing, Illinois enrollment
  • 171 clinicians in this Medicare group
NPI 1386635373 (217) 762-2115
Osf Multi-Specialty Group
87 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61821 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 6

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

MISS SAMANTHA STAFFORD DPT
Physical Therapist
1907 W SPRINGFIELD AVE STE B
CHAMPAIGN, IL 61821
Champaign County (217) 898-8393
MRS. ASHLEIGH DOUB SLP
Speech-Language Pathologist
1907 W SPRINGFIELD AVE STE B
CHAMPAIGN, IL 61821
Champaign County (217) 898-8393
VIRGILIO YURI MONTEMAR PT
Physical Therapist
1907 W SPRINGFIELD AVE STE B
CHAMPAIGN, IL 61821
Champaign County (217) 898-8393
CAROLYN ZHANG APRN, FNP-C
Nurse Practitioner (Family)
1907 W SPRINGFIELD AVE STE B
CHAMPAIGN, IL 61821
Champaign County (217) 530-0200
CHAMBANA URGENT CARE AND WALK IN CLINIC
Clinic/Center (Urgent Care)
1907 W SPRINGFIELD AVE STE B
CHAMPAIGN, IL 61821
Champaign County (872) 346-8918
MRS. HANNAH MYERS
Occupational Therapist
1907 W SPRINGFIELD AVE STE B
CHAMPAIGN, IL 61821
Champaign County (217) 898-8393

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 John Park's NPI number?

The NPI number for John Park is 1477389773. It was assigned to this individual provider in the NPPES registry on September 12, 2024.

Where is John Park located?

John Park practices at 1907 W Springfield Ave Ste B, Champaign, IL 61821. The listed phone number is (217) 530-0220.

What is John Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is John Park enrolled in Medicare?

Yes. John 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 organizations bill Medicare for John Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Park reassigns Medicare benefits to 3 organizations: Chambana Urgent Care And Walk In Clinic (Champaign, IL), Kirby Medical Center (Monticello, IL) and Osf Multi-Specialty Group (Peoria, IL). 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 John Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is John Park affiliated with any hospitals?

According to CMS data, John Park is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for John Park was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.