MISS SOYOUNG PARK MA, CCC-SLP
NPI 1568611671
Speech-Language Pathologist in Lincoln, NE
About Miss Soyoung Park Ma, Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS SOYOUNG PARK MA, CCC-SLP (NPI 1568611671) is an individual speech-language pathologist provider in Lincoln, Nebraska, licensed in Nebraska (2021) and active in the NPI registry since September 2008.
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 (PECOS)
Miss Soyoung Park Ma, Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Soyoung Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lincoln, NE 68506
- Reassigned Medicare billing, Nebraska enrollment
- 17 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
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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Soyoung Park's NPI number?
The NPI number for Soyoung Park is 1568611671. It was assigned to this individual provider in the NPPES registry on September 12, 2008.
Where is Soyoung Park located?
Soyoung Park practices at 9031 Whispering Wind Rd, Lincoln, NE 68512. The listed phone number is (510) 912-1585.
What is Soyoung Park's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Soyoung Park enrolled in Medicare?
Yes. Soyoung Park is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Soyoung Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Soyoung Park reassigns Medicare benefits to Aegis Group Practice LLC (Lincoln, NE). 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 Soyoung Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Soyoung Park accept?
Health plans from Blue Cross and Blue Shield of Nebraska list Soyoung 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 Soyoung Park was last updated on September 26, 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.
# Miss Soyoung Park, MA, CCC-SLP · NPI 1568611671
Speech-Language Pathologist provider in Lincoln, Nebraska. Individual provider, active in the CMS NPPES registry since September 12, 2008.
## Identity
- **NPI:** 1568611671 (Entity type: Individual)
- **Enumerated:** September 12, 2008
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 2021 (Nebraska)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9031 WHISPERING WIND RD, Lincoln, NE 68512-9280
- **Phone:** (510) 912-1585
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Aegis Group Practice LLC (NPI 1811664303, Lincoln, NE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 26, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1568611671) · Data from the CMS NPPES public registry.