MARY PARK MD
NPI 1609161330
Obstetrics & Gynecology in Port Angeles, WA

Active since June 10, 2011PECOS EnrolledAccepts Medicare Assignment
939 CAROLINE ST # 3E, PORT ANGELES, WA 98362(360) 565-0599(360) 452-7303 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 29, 2021, Sep 23, 2019, Nov 9, 2017 and 2 more (5 updates tracked since 2016).

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, is affiliated with Multicare Auburn Medical Center, and maintains a secondary practice location in Thornton.

NPPES Registry Identity

NPI1609161330
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMARY PARKCredential: MD
Location Address939 CAROLINE ST # 3EPort Angeles, WA 98362-3909
Mailing AddressPo Box 850Port Angeles, WA 98362-0146
Fax(360) 452-7303
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 10, 2011
Last NPPES UpdateOctober 15, 20245 updates tracked since enumeration
NPPES CertifiedOctober 15, 2024
NPI 1609161330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in WA · MD61579915
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License 280368 (NY)
939 CAROLINE ST # 3E, Port Angeles, WA 98362

Secondary Practice Location 1

Location 12900 E 136th Ave Ste 100Thornton, CO 80241-3542 · Phone (303) 999-3950

Accepted 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

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.

PECOS PAC ID8022321975
PECOS Enrollment IDI20240909004579
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 2

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

Multicare Auburn Medical Center

Acute Care Hospitals · Auburn, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500015
Location202 North Division Street Plaza OneAuburn, WA 98001 · King County
Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

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.

New Patient
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
939 CAROLINE ST # 3E
PORT ANGELES, WA 98362
Advanced Practice Midwife
939 CAROLINE ST # 3E
PORT ANGELES, WA 98362
Obstetrics & Gynecology
939 CAROLINE ST # 3E
PORT ANGELES, WA 98362
Family Medicine
939 CAROLINE ST # 3E
PORT ANGELES, WA 98362

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.

What insurance does Mary Park accept?

Health plans from Medica, 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.

Is Mary Park affiliated with any hospitals?

According to CMS data, Mary Park is affiliated with Multicare Auburn Medical Center and Tacoma General Allenmore Hospital.

When was this NPI record last updated?

The NPPES record for Mary Park was last updated on October 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.