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KRISTIN A PARK DNP
NPI 1558763516
Nurse Practitioner - Pediatrics in Covington, WA

Active since September 22, 2014PECOS Enrolled
17700 SE 272ND ST # 400, COVINGTON, WA 98042(253) 372-6512(253) 372-6527 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 21, 2023, Aug 13, 2020 (2 updates tracked since 2020).

About Kristin A Park Dnp NPPES

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

KRISTIN A PARK DNP (NPI 1558763516) is an individual pediatrics provider in Covington, Washington, licensed in Washington (AP60491879) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558763516
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKRISTIN A PARKCredential: DNP
Location Address17700 SE 272ND ST # 400Covington, WA 98042-4951
Mailing Address10863 Se 218th PlKent, WA 98031-1373 · (253) 307-9681
Phone(253) 372-6512
Fax(253) 372-6527
Sole ProprietorNo
Enumeration DateSeptember 22, 2014
Last NPPES UpdateFebruary 21, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2023
✔ NPI 1558763516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in WA · AP60491879
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 814227 (NV), AP60491879 (WA)
17700 SE 272ND ST # 400, Covington, WA 98042
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristin A Park Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kristin Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multicare Health System
Same address
Diagnostic Radiology
17700 SE 272ND ST
Covington, WA 98042
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
NPI 1578803839 (253) 372-7040

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 98042 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

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 Kristin Park's NPI number?

The NPI number for Kristin Park is 1558763516. It was assigned to this individual provider in the NPPES registry on September 22, 2014.

Where is Kristin Park located?

Kristin Park practices at 17700 SE 272nd St # 400, Covington, WA 98042. The listed phone number is (253) 372-6512.

What is Kristin Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kristin Park enrolled in Medicare?

Yes. Kristin Park is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristin Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Park reassigns Medicare benefits to Multicare Health System (Covington, WA). 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 Kristin Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristin Park accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kristin 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 Kristin Park was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.