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MR. BRANDON PARK
NPI 1609511286
Nurse Practitioner - Family in Arlington Heights, IL

Active since April 28, 2022PECOS Enrolled
2107 N JUNIPER LN, ARLINGTON HEIGHTS, IL 60004(224) 595-9721 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Brandon Park NPPES

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

MR. BRANDON PARK (NPI 1609511286) is an individual family provider in Arlington Heights, Illinois, licensed in Illinois (F04220414) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609511286
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. BRANDON PARK
Location Address2107 N JUNIPER LNArlington Heights, IL 60004-3186
Mailing Address2107 N Juniper LnArlington Heights, IL 60004-3186
Phone(224) 595-9721
Sole ProprietorYes
Enumeration DateApril 28, 2022
NPPES CertifiedApril 28, 2022
✔ NPI 1609511286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · F04220414
2107 N JUNIPER LN, Arlington Heights, IL 60004
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Brandon Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60004 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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 Brandon Park's NPI number?

The NPI number for Brandon Park is 1609511286. It was assigned to this individual provider in the NPPES registry on April 28, 2022.

Where is Brandon Park located?

Brandon Park practices at 2107 N Juniper Ln, Arlington Heights, IL 60004. The listed phone number is (224) 595-9721.

What is Brandon Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Brandon Park enrolled in Medicare?

Yes. Brandon Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brandon Park was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.