KWANG JIN PARK NP
NPI 1720749278
Nurse Practitioner - Adult Health in Orlando, FL

Active since January 06, 2022PECOS EnrolledAccepts Medicare Assignment
9400 TURKEY LAKE RD, ORLANDO, FL 32819(407) 351-8500(407) 345-9765 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 24, 2023, Jan 6, 2022 (2 updates tracked since 2022).

About Kwang Jin Park Np NPPES

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

KWANG JIN PARK NP (NPI 1720749278) is an individual adult health provider in Orlando, Florida, licensed in Florida (APRN11017162) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1720749278
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameKWANG JIN PARKCredential: NP
Location Address9400 TURKEY LAKE RDOrlando, FL 32819-8001
Mailing Address7350 Futures Dr Ste 1Orlando, FL 32819-9082 · (321) 214-0028 · Fax (407) 429-3833
Fax(407) 345-9765
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 6, 2022
Last NPPES UpdateOctober 24, 20232 updates tracked since enumeration
NPPES CertifiedOctober 24, 2023
NPI 1720749278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in FL · APRN11017162
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 11017162 (FL)
9400 TURKEY LAKE RD, Orlando, FL 32819

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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

Kwang Jin Park Np 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 ID9739568122
PECOS Enrollment IDI20220615000476
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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32819 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

Internal Medicine
9400 TURKEY LAKE RD, MP 452
ORLANDO, FL 32819
Nurse Practitioner (Acute Care)
9400 TURKEY LAKE RD
ORLANDO, FL 32819
Pharmacy (Community/Retail Pharmacy)
9400 TURKEY LAKE RD
ORLANDO, FL 32819
Respiratory Therapist, Registered
9400 TURKEY LAKE RD
ORLANDO, FL 32819
Nurse Practitioner
9400 TURKEY LAKE RD, MP 452
ORLANDO, FL 32819
Nurse Practitioner
9400 TURKEY LAKE RD
ORLANDO, FL 32819
Internal Medicine
9400 TURKEY LAKE RD, MP 452
ORLANDO, FL 32819
Pharmacist
9400 TURKEY LAKE RD, DPHSCRIPTS PHARMACY
ORLANDO, FL 32819

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 Kwang Park's NPI number?

The NPI number for Kwang Park is 1720749278. It was assigned to this individual provider in the NPPES registry on January 6, 2022.

Where is Kwang Park located?

Kwang Park practices at 9400 Turkey Lake Rd, Orlando, FL 32819. The listed phone number is (407) 351-8500.

What is Kwang Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kwang Park enrolled in Medicare?

Yes. Kwang 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 Kwang Park accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed list Kwang 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 Kwang Park affiliated with any hospitals?

According to CMS data, Kwang Park is affiliated with Orlando Health.

When was this NPI record last updated?

The NPPES record for Kwang Park was last updated on October 24, 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.