JULIE PARK MD
NPI 1568916625
Pediatrics - Pediatric Endocrinology in Columbia, MO
About Julie Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JULIE PARK MD (NPI 1568916625) is an individual pediatric endocrinology provider in Columbia, Missouri, licensed in Oregon (MD197784) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and maintains a secondary practice location in Portland.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Julie Park Md 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
2Medicare enrollment records show Julie Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sandy, OR 97055
- Reassigned Medicare billing, Oregon enrollment
- 1,248 clinicians in this Medicare group
Portland, OR 97232
- Reassigned Medicare billing, Oregon enrollment
- 719 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ohsu Hospital And Clinics
Acute Care Hospitals · Portland, ORLegacy Silverton Medical Center
Acute Care Hospitals · Silverton, ORLegacy Meridian Park Medical Center
Acute Care Hospitals · Tualatin, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65201 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.
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 Julie Park's NPI number?
The NPI number for Julie Park is 1568916625. It was assigned to this individual provider in the NPPES registry on August 6, 2016.
Where is Julie Park located?
Julie Park practices at 404 N Keene St Women's And Children's Hospital, Columbia, MO 65201. The listed phone number is (573) 882-4438.
What is Julie Park's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.
Is Julie Park enrolled in Medicare?
Yes. Julie 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 Julie Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Julie Park reassigns Medicare benefits to 2 organizations: Legacy Clinics LLC (Sandy, OR) and Legacy Emanuel Hospital & Health Center (Portland, OR). 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 Julie Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Julie Park accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Julie 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 Julie Park affiliated with any hospitals?
According to CMS data, Julie Park is affiliated with Ohsu Hospital And Clinics, Legacy Silverton Medical Center and Legacy Meridian Park Medical Center.
When was this NPI record last updated?
The NPPES record for Julie Park was last updated on August 22, 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.
# Julie Park, MD · NPI 1568916625
Pediatric Endocrinology physician in Columbia, Missouri. Individual provider, active in the CMS NPPES registry since August 6, 2016.
## Identity
- **NPI:** 1568916625 (Entity type: Individual)
- **Enumerated:** August 6, 2016
- **Primary specialty:** Pediatrics - Pediatric Endocrinology · taxonomy 2080P0205X
- **State license:** MD197784 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 404 N KEENE ST, WOMEN'S AND CHILDREN'S HOSPITAL, Columbia, MO 65201-6626
- **Phone:** (573) 882-4438 · **Fax:** (573) 884-9992
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Legacy Clinics LLC (NPI 1730472192, Sandy, OR); Legacy Emanuel Hospital & Health Center (NPI 1003367491, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** August 22, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1568916625) · Data from the CMS NPPES public registry.