MARY PARK MD
NPI 1609161330
Obstetrics & Gynecology in Port Angeles, WA
About Mary Park Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY PARK MD (NPI 1609161330) is an individual obstetrics & gynecology provider in Port Angeles, Washington, licensed in Washington (MD61579915) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Thornton, and is a graduate of Other (2011).
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
Mary 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 Mary Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gig Harbor, WA 98335
- Reassigned Medicare billing, Washington enrollment
- 4,383 clinicians in this Medicare group
Lamar, CO 81052
- Reassigned Medicare billing, Colorado enrollment
- 115 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98362 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 4
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 Mary Park's NPI number?
The NPI number for Mary Park is 1609161330. It was assigned to this individual provider in the NPPES registry on June 10, 2011.
Where is Mary Park located?
Mary Park practices at 939 Caroline St # 3E, Port Angeles, WA 98362. The listed phone number is (360) 565-0599.
What is Mary Park's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Mary Park enrolled in Medicare?
Yes. Mary 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 Mary Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Park reassigns Medicare benefits to 2 organizations: Multicare Health System (Gig Harbor, WA) and Prowers County Hospital District (Lamar, CO). 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 Mary Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Park accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mary 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 Mary Park was last updated on October 15, 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.
# Mary Park, MD · NPI 1609161330
Obstetrics & Gynecology physician in Port Angeles, Washington. Individual provider, active in the CMS NPPES registry since June 10, 2011.
## Identity
- **NPI:** 1609161330 (Entity type: Individual)
- **Enumerated:** June 10, 2011
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** MD61579915 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 939 CAROLINE ST # 3E, Port Angeles, WA 98362-3909
- **Phone:** (360) 565-0599 · **Fax:** (360) 452-7303
## 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): Multicare Health System (NPI 1225674963, Gig Harbor, WA); Prowers County Hospital District (NPI 1821052929, Lamar, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** October 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1609161330) · Data from the CMS NPPES public registry.