YEOUNKYOUNG PARK RN, ANP, NNP-BC
NPI 1750679569
Nurse Practitioner - Neonatal in Fresno, CA
About Yeounkyoung Park Rn, Anp, Nnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YEOUNKYOUNG PARK RN, ANP, NNP-BC (NPI 1750679569) is an individual neonatal provider in Fresno, California, licensed in California (95001621) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Madera, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Yeounkyoung Park Rn, Anp, Nnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Yeounkyoung Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fresno, CA 93720
- Reassigned Medicare billing, California enrollment
- 604 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93721 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FRESNO, CA 93721
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 Yeounkyoung Park's NPI number?
The NPI number for Yeounkyoung Park is 1750679569. It was assigned to this individual provider in the NPPES registry on July 13, 2011. The provider is also known as Sara Park Neonatal Np.
Where is Yeounkyoung Park located?
Yeounkyoung Park practices at 2823 Fresno St, Fresno, CA 93721. The listed phone number is (559) 459-3961.
What is Yeounkyoung Park's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.
Is Yeounkyoung Park enrolled in Medicare?
Yes. Yeounkyoung Park is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Yeounkyoung Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yeounkyoung Park reassigns Medicare benefits to Community Health Partners (Fresno, CA). The 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 Yeounkyoung Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Yeounkyoung Park was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Yeounkyoung Park, RN, ANP, NNP-BC · NPI 1750679569
Neonatal physician in Fresno, California. Individual provider, active in the CMS NPPES registry since July 13, 2011.
## Identity
- **NPI:** 1750679569 (Entity type: Individual)
- **Enumerated:** July 13, 2011
- **Primary specialty:** Nurse Practitioner - Neonatal · taxonomy 363LN0000X
- **State license:** 95001621 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2823 FRESNO ST, Fresno, CA 93721-1324
- **Phone:** (559) 459-3961
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Community Health Partners (NPI 1952912420, Fresno, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** September 19, 2025
- **Other identifiers:** Medicaid NP0233 (AK)
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Source: [NPI Profile](https://npiprofile.com/npi/1750679569) · Data from the CMS NPPES public registry.