YEOUNKYOUNG PARK RN, ANP, NNP-BC
NPI 1750679569
Nurse Practitioner - Neonatal in Fresno, CA

Q: 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.

Q: What is Yeounkyoung Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: 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 10 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 July 13, 2011PECOS Enrolled

2823 FRESNO ST, FRESNO, CA 93721(559) 459-3961 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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

NPI1750679569

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameYEOUNKYOUNG PARKCredential: RN, ANP, NNP-BC

Location Address2823 FRESNO STFresno, CA 93721-1324

Mailing Address2433 Sierra Madre AveClovis, CA 93611-6527 · (559) 253-3217

Phone(559) 459-3961

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 13, 2011

Last NPPES UpdateSeptember 19, 2025

NPPES CertifiedSeptember 19, 2025

✔ NPI 1750679569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

License✔ Licensed in CA · 95001621

2823 FRESNO ST, Fresno, CA 93721

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Other Names 1

Other Name (5)Sara Park Neonatal Np

Secondary Practice Location 1

Location 19300 Valley Childrens PlMadera, CA 93636-8762 · Phone (559) 353-3000

Other Identifiers 1

MedicaidNP0233AK

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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).

PECOS PAC ID7416434766

PECOS Enrollment IDI20260116003814

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.

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.

New Patient

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

MICHELLE LEA STORKAN M.D.

Emergency Medicine