SONG Y. PARK NP-C
NPI 1568852317
Nurse Practitioner in Houston, TX

Q: What is Song Park's NPI number?

The NPI number for Song Park is 1568852317. It was assigned to this individual provider in the NPPES registry on February 2, 2015. The provider is also known as Sonia Park Msn, Np-C.

Q: What is Song Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Song Park was last updated on January 23, 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.

Active since February 02, 2015PECOS EnrolledAccepts Medicare Assignment

8588 KATY FWY STE 226A, HOUSTON, TX 77024(713) 532-6884(713) 532-5756 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 14, 2021, Sep 29, 2021, Sep 13, 2021 and 1 more (4 updates tracked since 2017).

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About Song Y. Park Np-c NPPES

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

SONG Y. PARK NP-C (NPI 1568852317) is an individual nurse practitioner in Houston, Texas, licensed in Texas (1185938) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Sugar Land Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1568852317

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSONG Y. PARKCredential: NP-C

Location Address8588 KATY FWY STE 226AHouston, TX 77024-1881

Mailing Address23320 Highway 99Edmonds, WA 98026-8744 · (425) 640-5500

Phone(713) 532-6884

Fax(713) 532-5756

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateFebruary 2, 2015

Last NPPES UpdateJanuary 23, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 23, 2025

✔ NPI 1568852317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in TX · 1185938✔ Licensed in WA · AP61211573

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN219551 (GA)

8588 KATY FWY STE 226A, Houston, TX 77024

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Other Names 1

Other Name (5)Sonia Park Msn, Np-c

Secondary Practice Locations 2

Location 1771 Old Norcross Rd Ste 120Lawrenceville, GA 30046-4977 · Phone (770) 670-6920 · Fax (770) 670-6927

Location 223320 Highway 99Edmonds, WA 98026-8744 · Phone (425) 640-5500

Accepted Insurance

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

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

Song Y. Park Np-c 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 ID3779891973

PECOS Enrollment IDI20250213000768

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.

Hospital Affiliations CMS Care Compare

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

Memorial Hermann Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450848

Location17500 W Grand Parkway SouthSugar Land, TX 77479 · Fort Bend County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77024 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

CHONA ABING MILLER ARNP

Nurse Practitioner (Family)