ANNIE KAY PARK ARNP FNP-C
NPI 1659065290
Nurse Practitioner - Family in Ellensburg, WA

Active since June 06, 2023PECOS EnrolledAccepts Medicare Assignment
100 W 3RD AVE, ELLENSBURG, WA 98926(509) 388-2345 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 16, 2023, Jun 6, 2023 (2 updates tracked since 2023).

About Annie Kay Park Arnp Fnp-c NPPES

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

ANNIE KAY PARK ARNP FNP-C (NPI 1659065290) is an individual family provider in Ellensburg, Washington, licensed in Washington (AP61483923) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Kittitas Valley Community Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1659065290
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANNIE KAY PARKCredential: ARNP FNP-C
Location Address100 W 3RD AVEEllensburg, WA 98926-3354
Mailing Address100 W 3rd AveEllensburg, WA 98926-3354 · (206) 291-6553
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 6, 2023
Last NPPES UpdateOctober 16, 20232 updates tracked since enumeration
NPPES CertifiedJune 28, 2023
NPI 1659065290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WA · AP61483923
Also ListedRegistered Nurse · Neonatal, Low-RiskTaxonomy 163WN0003X · License RN000150149 (WA)
100 W 3RD AVE, Ellensburg, WA 98926

Other Names 1

Former Name (1)Karen Ann Park Rnc

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

Annie Kay Park Arnp Fnp-c 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 ID2062868862
PECOS Enrollment IDI20251113002643
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

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

Kittitas Valley Community Hospital

Critical Access Hospitals · Ellensburg, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501333
Location603 South ChestnutEllensburg, WA 98926 · Kittitas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98926 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 Annie Park's NPI number?

The NPI number for Annie Park is 1659065290. It was assigned to this individual provider in the NPPES registry on June 6, 2023. The provider is also known as Karen Ann Park Rnc.

Where is Annie Park located?

Annie Park practices at 100 W 3rd Ave, Ellensburg, WA 98926. The listed phone number is (509) 388-2345.

What is Annie Park's specialty?

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

Is Annie Park enrolled in Medicare?

Yes. Annie 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.

Is Annie Park affiliated with any hospitals?

According to CMS data, Annie Park is affiliated with Kittitas Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Annie Park was last updated on October 16, 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.