NOMIN PARK NP
NPI 1801645742
Nurse Practitioner - Family in Medford, OR
About Nomin Park Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NOMIN PARK NP (NPI 1801645742) is an individual family provider in Medford, Oregon, licensed in Oregon (10026206) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
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 (PECOS)
Nomin Park Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97504 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.
MEDFORD, OR 97504
MEDFORD, OR 97504
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 Nomin Park's NPI number?
The NPI number for Nomin Park is 1801645742. It was assigned to this individual provider in the NPPES registry on May 14, 2024.
Where is Nomin Park located?
Nomin Park practices at 1003 E Main St Ste 104, Medford, OR 97504. The listed phone number is (541) 779-1282.
What is Nomin Park's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nomin Park enrolled in Medicare?
Yes. Nomin Park is registered in the Medicare PECOS enrollment system.
What insurance does Nomin Park accept?
Health plans from Moda Health Plan, Inc. list Nomin 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 Nomin Park was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Nomin Park, NP · NPI 1801645742
Family physician in Medford, Oregon. Individual provider, active in the CMS NPPES registry since May 14, 2024.
## Identity
- **NPI:** 1801645742 (Entity type: Individual)
- **Enumerated:** May 14, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 10026206 (Oregon)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1003 E MAIN ST STE 104, Medford, OR 97504-7140
- **Phone:** (541) 779-1282
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1801645742) · Data from the CMS NPPES public registry.