TAMMY PARK DNP, CNM
NPI 1679357610
Advanced Practice Midwife in Gilbert, AZ

Q: What is Tammy Park's NPI number?

The NPI number for Tammy Park is 1679357610. It was assigned to this individual provider in the NPPES registry on August 21, 2023.

Q: What is Tammy Park's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tammy Park was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since August 21, 2023PECOS Enrolled

3370 S MERCY RD STE 314, GILBERT, AZ 85297(490) 782-0993 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 6, 2026, Jul 28, 2026, Jul 25, 2026 and 2 more (5 updates tracked since 2023).

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About Tammy Park Dnp, Cnm NPPES

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

TAMMY PARK DNP, CNM (NPI 1679357610) is an individual advanced practice midwife in Gilbert, Arizona, licensed in Arizona (262285) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Queen Creek, and is a graduate of University Of Arizona College Of Medicine (2026).

NPPES Registry Identity

NPI1679357610

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameTAMMY PARKCredential: DNP, CNM

Location Address3370 S MERCY RD STE 314Gilbert, AZ 85297-0417

Mailing Address3370 S Mercy Rd Ste 314Gilbert, AZ 85297-0417 · (480) 782-0993 · Fax (833) 337-0386

Phone(490) 782-0993

Sole ProprietorNo

Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2026

Enumeration DateAugust 21, 2023

Last NPPES UpdateAugust 6, 20265 updates tracked since enumeration

NPPES CertifiedAugust 6, 2026

✔ NPI 1679357610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in AZ · 262285

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Also ListedRegistered Nurse · Maternal NewbornTaxonomy 163WM0102X · License 262285 (AZ)

3370 S MERCY RD STE 314, Gilbert, AZ 85297

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Secondary Practice Location 1

Location 122711 S Ellsworth Rd Ste 104Queen Creek, AZ 85142-6789 · Phone (480) 782-0993 · Fax (833) 337-0386

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tammy Park Dnp, Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486113255

PECOS Enrollment IDI20260824000717

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.

Medicare Billing Reassignment

Medicare enrollment records show Tammy Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arizona Ob Gyn Affiliates PC

23 mi

Specialist

1661 E CAMELBACK RD STE 160
Phoenix, AZ 85016

Reassigned Medicare billing, Arizona enrollment
136 clinicians in this Medicare group

NPI 1750589404 (623) 231-3686

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 85297 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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 5

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

SHANNON PRITCHETT FNP-C

Nurse Practitioner (Family)