JESSE AARON PARK
NPI 1487079190
Emergency Medicine in Wyandotte, MI
About Jesse Aaron Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSE AARON PARK (NPI 1487079190) is an individual emergency medicine provider in Wyandotte, Michigan, licensed in Michigan (5101020914) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Lima Memorial Health System, and is a graduate of Michigan State University College Of Osteopathic Medicine (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Jesse Aaron Park 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 Reassignments
4Medicare enrollment records show Jesse Park reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Toledo, OH 43606
- Reassigned Medicare billing, Ohio enrollment
- 375 clinicians in this Medicare group
Toledo, OH 43606
- Reassigned Medicare billing, Michigan and Ohio enrollments
- 95 clinicians in this Medicare group
Toledo, OH 43606
- Reassigned Medicare billing, Ohio enrollment
- 124 clinicians in this Medicare group
Saint Marys, OH 45885
- Reassigned Medicare billing, Ohio enrollment
- 73 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 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lima Memorial Health System
Acute Care Hospitals · Lima, OHPromedica Toledo Hospital
Acute Care Hospitals · Toledo, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48192 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.
WYANDOTTE, MI 48192
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 Jesse Park's NPI number?
The NPI number for Jesse Park is 1487079190. It was assigned to this individual provider in the NPPES registry on March 4, 2014.
Where is Jesse Park located?
Jesse Park practices at 2333 Biddle Ave, Wyandotte, MI 48192. The listed phone number is (734) 287-9029.
What is Jesse Park's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jesse Park enrolled in Medicare?
Yes. Jesse 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 Jesse Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Park reassigns Medicare benefits to 4 organizations: The Toledo Hospital (Toledo, OH), Emergency Physicians Of Northwest Ohio Inc. (Toledo, OH), Observation Physicians Of Northwest Ohio LLC (Toledo, OH) and Joint Township District Memorial Hospital (Saint Marys, OH). 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 Jesse Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jesse Park accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and CareSource list Jesse 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.
Is Jesse Park affiliated with any hospitals?
According to CMS data, Jesse Park is affiliated with Lima Memorial Health System and Promedica Toledo Hospital.
When was this NPI record last updated?
The NPPES record for Jesse Park was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jesse Aaron Park · NPI 1487079190
Emergency Medicine physician in Wyandotte, Michigan. Individual provider, active in the CMS NPPES registry since March 4, 2014.
## Identity
- **NPI:** 1487079190 (Entity type: Individual)
- **Enumerated:** March 4, 2014
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 5101020914 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2333 BIDDLE AVE, Wyandotte, MI 48192-4668
- **Phone:** (734) 287-9029
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): The Toledo Hospital (NPI 1083843031, Toledo, OH); Emergency Physicians Of Northwest Ohio Inc. (NPI 1043274418, Toledo, OH); Observation Physicians Of Northwest Ohio LLC (NPI 1700462967, Toledo, OH); Joint Township District Memorial Hospital (NPI 1639133002, Saint Marys, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 2014
## Record status
- **NPPES last updated:** February 29, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1487079190) · Data from the CMS NPPES public registry.