MRS. CARLY HANNAH PARKS FNP
NPI 1578305264
Nurse Practitioner - Family in Cortland, NY
About Mrs. Carly Hannah Parks Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CARLY HANNAH PARKS FNP (NPI 1578305264) is an individual family provider in Cortland, New York, licensed in New York (F354261-01) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Guthrie Cortland Regional Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Mrs. Carly Hannah Parks Fnp 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 Reassignment
Medicare enrollment records show Carly Parks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sayre, PA 18840
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Guthrie Medical Group PC
- 798 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Guthrie Cortland Regional Medical Center
Acute Care Hospitals · Cortland, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Carly Parks's NPI number?
The NPI number for Carly Parks is 1578305264. It was assigned to this individual provider in the NPPES registry on June 12, 2024. The provider is also known as Ms. Carly Hannah Dove Fnp.
Where is Carly Parks located?
Carly Parks practices at 4057 West Road, Cortland, NY 13045. The listed phone number is (607) 299-7116.
What is Carly Parks's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carly Parks enrolled in Medicare?
Yes. Carly Parks 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 organization bills Medicare for Carly Parks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carly Parks reassigns Medicare benefits to Guthrie Medical Group, P.C. (Sayre, PA). 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 Carly Parks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Carly Parks affiliated with any hospitals?
According to CMS data, Carly Parks is affiliated with Guthrie Cortland Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Carly Parks was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Mrs. Carly Hannah Parks, FNP · NPI 1578305264
Family physician in Cortland, New York. Individual provider, active in the CMS NPPES registry since June 12, 2024.
## Identity
- **NPI:** 1578305264 (Entity type: Individual)
- **Enumerated:** June 12, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F354261-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 4057 WEST ROAD, Cortland, NY 13045
- **Phone:** (607) 299-7116
## 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:** Guthrie Medical Group, P.C. (NPI 1245246644, Sayre, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1578305264) · Data from the CMS NPPES public registry.