KYONG ZU PARK PMHNP
NPI 1720465230
Nurse Practitioner - Psychiatric/Mental Health in Hillsboro, OR

Q: What is Kyong Zu Park's NPI number?

The NPI number for Kyong Zu Park is 1720465230. It was assigned to this individual provider in the NPPES registry on May 5, 2015.

Q: What is Kyong Zu Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kyong Zu Park was last updated on December 20, 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.

Active since May 05, 2015PECOS EnrolledAccepts Medicare Assignment

86.22/100

CMS Quality Rating

335 SE 8TH AVE, HILLSBORO, OR 97123(503) 681-1919 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 22, 2023, Jun 13, 2016 (2 updates tracked since 2016).

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About Kyong Zu Park Pmhnp NPPES

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

KYONG ZU PARK PMHNP (NPI 1720465230) is an individual psychiatric/mental health provider in Hillsboro, Oregon, licensed in Oregon (201602317NP-PP) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Legacy Emanuel Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1720465230

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKYONG ZU PARKCredential: PMHNP

Location Address335 SE 8TH AVEHillsboro, OR 97123-4246

Mailing Address1400 Sw 5th Ave Ste 500Portland, OR 97201-5537 · (503) 494-8417 · Fax (503) 494-4455

Phone(503) 681-1919

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMay 5, 2015

Last NPPES UpdateDecember 20, 20232 updates tracked since enumeration

NPPES CertifiedDecember 20, 2023

✔ NPI 1720465230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OR · 201602317NP-PP

335 SE 8TH AVE, Hillsboro, OR 97123

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Secondary Practice Location 1

Location 13430 SE Powell BlvdPortland, OR 97202-3372 · Phone (503) 872-8822

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.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

Kyong Zu Park Pmhnp 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 ID1254615016

PECOS Enrollment IDI20170223001217

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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

34 services29 patients

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 services11 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Legacy Emanuel Medical Center

Acute Care Hospitals · Portland, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380007

Location2801 N Gantenbein AvenuePortland, OR 97227 · Multnomah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97123 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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.

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.

86.22/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

95.64

Promoting Interoperability

Improvement Activities

Cost

49.32

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.

TOBY J COGHILL

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