KELSEY KAY PARK DNP
NPI 1689245656
Nurse Anesthetist, Certified Registered in Robinson, IL
About Kelsey Kay Park Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY KAY PARK DNP (NPI 1689245656) is an individual nurse anesthetist, certified registered in Robinson, Illinois, licensed in Illinois (209023556) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Crawford Memorial Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelsey Kay Park Dnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kelsey Park reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Robinson, IL 62454
- Reassigned Medicare billing, Illinois enrollment
- 116 clinicians in this Medicare group
Bellevue, WA 98004
- Reassigned Medicare billing, Washington enrollment
- 56 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Crawford Memorial Hospital
Critical Access Hospitals · Robinson, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROBINSON, IL 62454
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 Kelsey Park's NPI number?
The NPI number for Kelsey Park is 1689245656. It was assigned to this individual provider in the NPPES registry on July 9, 2021.
Where is Kelsey Park located?
Kelsey Park practices at 1000 N Allen St, Robinson, IL 62454. The listed phone number is (618) 544-3131.
What is Kelsey Park's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kelsey Park enrolled in Medicare?
Yes. Kelsey 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.
Which organizations bill Medicare for Kelsey Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Park reassigns Medicare benefits to 2 organizations: Crawford Hospital District (Robinson, IL) and Advanced Anesthesia Services, PLLC (Bellevue, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelsey Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kelsey Park affiliated with any hospitals?
According to CMS data, Kelsey Park is affiliated with Crawford Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Kelsey Park was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kelsey Kay Park, DNP · NPI 1689245656
Nurse Anesthetist, Certified Registered physician in Robinson, Illinois. Individual provider, active in the CMS NPPES registry since July 9, 2021.
## Identity
- **NPI:** 1689245656 (Entity type: Individual)
- **Enumerated:** July 9, 2021
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 209023556 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 N ALLEN ST, Robinson, IL 62454-1114
- **Phone:** (618) 544-3131
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Crawford Hospital District (NPI 1265493720, Robinson, IL); Advanced Anesthesia Services, PLLC (NPI 1700211786, Bellevue, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1689245656) · Data from the CMS NPPES public registry.