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LISA MARIE PARK FNP-BC
NPI 1639944382
Family Medicine in Triadelphia, WV

Active since November 21, 2023PECOS EnrolledAccepts Medicare Assignment
4509 NATIONAL RD, TRIADELPHIA, WV 26059(304) 639-0873 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Marie Park Fnp-bc NPPES

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

LISA MARIE PARK FNP-BC (NPI 1639944382) is an individual family medicine provider in Triadelphia, West Virginia, licensed in West Virginia (117804) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Weirton Medical Center, Inc, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1639944382
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLISA MARIE PARKCredential: FNP-BC
Location Address4509 NATIONAL RDTriadelphia, WV 26059-2013
Mailing AddressPo Box 285Triadelphia, WV 26059-0285 · (304) 639-0873
Phone(304) 639-0873
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 21, 2023
NPPES CertifiedOctober 25, 2023
✔ NPI 1639944382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 117804
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4509 NATIONAL RD, Triadelphia, WV 26059
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.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

Lisa Marie Park Fnp-bc 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 ID42660730
PECOS Enrollment IDI20231220004092
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services14 patients

Hospital Affiliations CMS Care Compare

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

Weirton Medical Center, Inc

Acute Care Hospitals · Weirton, WV
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510023
Location601 Colliers WayWeirton, WV 26062 · Hancock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26059 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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 Lisa Park's NPI number?

The NPI number for Lisa Park is 1639944382. It was assigned to this individual provider in the NPPES registry on November 21, 2023.

Where is Lisa Park located?

Lisa Park practices at 4509 National Rd, Triadelphia, WV 26059. The listed phone number is (304) 639-0873.

What is Lisa Park's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lisa Park enrolled in Medicare?

Yes. Lisa 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 Lisa Park accept?

Health plans from CareSource and Molina Healthcare list Lisa 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 Lisa Park affiliated with any hospitals?

According to CMS data, Lisa Park is affiliated with Weirton Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Lisa Park was last updated on November 21, 2023. 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.