1. Home
  2. Directory
  3. Washington
  4. Shelton
  5. Pediatrics
  6. NPI Profile

DR. JEWEL PARK MD
NPI 1780325381
Pediatrics in Shelton, WA

Active since April 06, 2022PECOS Enrolled
1701 N 13TH ST, SHELTON, WA 98584(360) 426-2653 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 4, 2025, Apr 6, 2022 (2 updates tracked since 2022).

About Dr. Jewel Park Md NPPES

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

DR. JEWEL PARK MD (NPI 1780325381) is an individual pediatrics provider in Shelton, Washington, licensed in Washington (MD61606820) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1780325381
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JEWEL PARKCredential: MD
Location Address1701 N 13TH STShelton, WA 98584-2077
Mailing Address1701 N 13th StShelton, WA 98584-2077 · (360) 426-2653
Phone(360) 426-2653
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 6, 2022
Last NPPES UpdateSeptember 4, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1780325381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WA · MD61606820
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1701 N 13TH ST, Shelton, WA 98584
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jewel Park Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365959491
PECOS Enrollment IDI20250724002384
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 98584 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

KATIE ALDRICH PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1701 N 13TH ST
SHELTON, WA 98584
Mason County (360) 426-1611
DARREN CUEVAS D.O
Family Medicine
1701 N 13TH ST
SHELTON, WA 98584
Mason County (360) 426-2653
PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY
Family Medicine
1701 N 13TH ST
SHELTON, WA 98584
Mason County (360) 426-2653
DR. HUI N/A ZHAO MD, PHD
Ophthalmology
1701 N 13TH ST
SHELTON, WA 98584
Mason County (360) 427-9549
VANESSA LAUREL CRAY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1701 N 13TH ST
SHELTON, WA 98584
Mason County (360) 426-2653
DR. TREVOR SHANE KWAN D.O.
Family Medicine
1701 N 13TH ST
SHELTON, WA 98584
Mason County (360) 426-2653
DR. NIKKI ANN REYES MEDINA DO
Obstetrics & Gynecology
1701 N 13TH ST
SHELTON, WA 98584
Mason County (360) 426-2653
MR. JAMES STAUFFER PA-C
Physician Assistant
1701 N 13TH ST
SHELTON, WA 98584
Mason County (360) 426-2653

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 Jewel Park's NPI number?

The NPI number for Jewel Park is 1780325381. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Jewel Park located?

Jewel Park practices at 1701 N 13th St, Shelton, WA 98584. The listed phone number is (360) 426-2653.

What is Jewel Park's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jewel Park enrolled in Medicare?

Yes. Jewel Park is registered in the Medicare PECOS enrollment system.

What insurance does Jewel Park accept?

Health plans from Providence Health Plan list Jewel 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.

When was this NPI record last updated?

The NPPES record for Jewel Park was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.