SE J PARK NP-C, DNP
NPI 1871031518
Nurse Practitioner in Irvine, CA

Active since February 02, 2017PECOS EnrolledAccepts Medicare Assignment
98.85/100
CMS Quality Rating
1000 FIVEPOINT, IRVINE, CA 92618(800) 826-4673 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2025, May 9, 2023, Dec 6, 2022 and 1 more (4 updates tracked since 2017).

About Se J Park Np-c, Dnp NPPES

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

SE J PARK NP-C, DNP (NPI 1871031518) is an individual nurse practitioner in Irvine, California, licensed in California (95023379) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Emory University School Of Medicine (2016).

NPPES Registry Identity

NPI1871031518
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameSE J PARKCredential: NP-C, DNP
Location Address1000 FIVEPOINTIrvine, CA 92618-2377
Mailing AddressPo Box 512185Los Angeles, CA 90051-0185
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2016
Enumeration DateFebruary 2, 2017
Last NPPES UpdateOctober 30, 20254 updates tracked since enumeration
NPPES CertifiedOctober 30, 2025
NPI 1871031518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in CA · 95023379 Licensed in GA · RN243386
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License RN243386 (GA), 95023379 (CA)
1000 FIVEPOINT, Irvine, CA 92618

Other Names 1

Other Name (5)Andrew Park Np-c

Secondary Practice Locations 2

Location 155 Whitcher St NE Ste 250Marietta, GA 30060-1169 · Phone (770) 428-4475
Location 21500 Duarte RdDuarte, CA 91010-3012 · Phone (800) 826-4673

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Se J Park Np-c, Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971887472
PECOS Enrollment IDI20221216001328
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 92618 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

98.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.71
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims1,320 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers23 claims2,700 services$5.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Anesthesiology
1000 FIVEPOINT
IRVINE, CA 92618
Surgery (Surgical Oncology)
1000 FIVEPOINT, BLDG A
IRVINE, CA 92618
Nurse Practitioner (Acute Care)
1000 FIVEPOINT
IRVINE, CA 92618
Radiology (Vascular & Interventional Radiology)
1000 FIVEPOINT
IRVINE, CA 92618
Internal Medicine (Pulmonary Disease)
1000 FIVEPOINT
IRVINE, CA 92618
Radiology (Diagnostic Radiology)
1000 FIVEPOINT
IRVINE, CA 92618
Internal Medicine (Pulmonary Disease)
1000 FIVEPOINT
IRVINE, CA 92618
Nurse Anesthetist, Certified Registered
1000 FIVEPOINT
IRVINE, CA 92618

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 Se Park's NPI number?

The NPI number for Se Park is 1871031518. It was assigned to this individual provider in the NPPES registry on February 2, 2017. The provider is also known as Andrew Park Np-C.

Where is Se Park located?

Se Park practices at 1000 Fivepoint, Irvine, CA 92618. The listed phone number is (800) 826-4673.

What is Se Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Se Park enrolled in Medicare?

Yes. Se Park is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Se Park was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.