DR. JOSEPHINE H. PARK M.D.
NPI 1811977416
Pediatrics in Fayetteville, AR

Q: What is Josephine Park's NPI number?

The NPI number for Josephine Park is 1811977416. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Q: What is Josephine Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Josephine Park was last updated on December 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 19, 2006PECOS Enrolled

3380 N FUTRALL DR STE 1, FAYETTEVILLE, AR 72703(479) 442-7322(479) 442-7379 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 29, 2021, May 30, 2019, Jun 20, 2018 (3 updates tracked since 2018).

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About Dr. Josephine H. Park M.d. NPPES

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

DR. JOSEPHINE H. PARK M.D. (NPI 1811977416) is an individual pediatrics provider in Fayetteville, Arkansas, licensed in Arkansas (E4028) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811977416

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. JOSEPHINE H. PARKCredential: M.D.

Location Address3380 N FUTRALL DR STE 1Fayetteville, AR 72703

Mailing AddressPo Box 1523Fayetteville, AR 72702-1523 · (479) 571-6038 · Fax (479) 582-0222

Phone(479) 442-7322

Fax(479) 442-7379

Sole ProprietorNo

Enumeration DateJanuary 19, 2006

Last NPPES UpdateDecember 29, 20213 updates tracked since enumeration

NPPES CertifiedDecember 29, 2021

✔ NPI 1811977416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AR · E4028

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.

3380 N FUTRALL DR STE 1, Fayetteville, AR 72703

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Other Identifiers 2

Medicaid154123001AR

Other5M857AR · Ar Bc/bs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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. Josephine H. Park M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 72703 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

WILBY M SIEGLER APRN

Nurse Practitioner (Psychiatric/Mental Health)