JANE J PARK M.D.
NPI 1790129898
Internal Medicine in North Fort Myers, FL

Q: What is Jane Park's NPI number?

The NPI number for Jane Park is 1790129898. It was assigned to this individual provider in the NPPES registry on April 19, 2013.

Q: What is Jane Park's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jane Park was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 19, 2013

97.83/100

CMS Quality Rating

13279 N CLEVELAND AVE, NORTH FORT MYERS, FL 33903(239) 652-4111 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2021, Oct 7, 2020, Jun 7, 2019 (3 updates tracked since 2019).

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About Jane J Park M.d. NPPES

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

JANE J PARK M.D. (NPI 1790129898) is an individual internal medicine provider in North Fort Myers, Florida, licensed in Florida (ME132432) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1790129898

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameJANE J PARKCredential: M.D.

Location Address13279 N CLEVELAND AVENorth Fort Myers, FL 33903-4818

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 652-4111 · Fax (239) 652-4105

Phone(239) 652-4111

Sole ProprietorNo

Enumeration DateApril 19, 2013

Last NPPES UpdateMarch 29, 20213 updates tracked since enumeration

NPPES CertifiedMarch 29, 2021

✔ NPI 1790129898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME132432

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License ME132432 (FL)

13279 N CLEVELAND AVE, North Fort Myers, FL 33903

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Other Identifiers 1

Medicaid102359500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

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.

97.83/100

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

Scored through an Alternative Payment Model

Quality

80.97

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAYLOR FITORI MARRAPESE APRN

Nurse Practitioner (Family)