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DR. VICKIE JEAN PARK MD
NPI 1851484349
Emergency Medicine in Jefferson City, MO

Active since October 02, 2006PECOS Enrolled
100 ST. MARY'S MEDICAL PLAZA, JEFFERSON CITY, MO 65101(573) 761-7011 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Vickie Jean Park Md NPPES

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

DR. VICKIE JEAN PARK MD (NPI 1851484349) is an individual emergency medicine provider in Jefferson City, Missouri, licensed in Missouri (R9F46) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851484349
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. VICKIE JEAN PARKCredential: MD
Location Address100 ST. MARY'S MEDICAL PLAZAJefferson City, MO 65101
Mailing Address2620 Westbrook WayColumbia, MO 65203 · (573) 442-1150
Phone(573) 761-7011
Sole ProprietorYes
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1851484349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MO · R9F46
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
100 ST. MARY'S MEDICAL PLAZA, Jefferson City, MO 65101
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Other Identifiers 1

Medicare UPINA13048MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Vickie Jean Park Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Vickie Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Capital Emergency Physicians, PC
  • Reassigned Medicare billing, Missouri enrollment
  • 35 clinicians in this Medicare group
No phone listed

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65101 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 2

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

COLE PHYSICIAN SERVICES LLC
Hospitalist
100 ST. MARY'S MEDICAL PLAZA
JEFFERSON CITY, MO 65101
Cole County (573) 761-7011
DR. SAM RAY SIMMS M.D.
Emergency Medicine
100 ST. MARY'S MEDICAL PLAZA
JEFFERSON CITY, MO 65101
Cole County (573) 761-7011

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 Vickie Park's NPI number?

The NPI number for Vickie Park is 1851484349. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Vickie Park located?

Vickie Park practices at 100 St. Mary's Medical Plaza, Jefferson City, MO 65101. The listed phone number is (573) 761-7011.

What is Vickie Park's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Vickie Park enrolled in Medicare?

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

Which organization bills Medicare for Vickie Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vickie Park reassigns Medicare benefits to Capital Emergency Physicians, PC (MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vickie Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Vickie Park was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.