SE J PARK NP-C, DNP
NPI 1871031518
Nurse Practitioner in Irvine, CA
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
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Se Park reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 85 clinicians in this Medicare group
Duarte, CA 91010
- Reassigned Medicare billing, California enrollment
- 1,335 clinicians in this Medicare group
Dallas, GA 30132
- Reassigned Medicare billing, Georgia enrollment
- 3,885 clinicians in this Medicare group
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 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.
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.
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.
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.
IRVINE, CA 92618
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.
Which organizations bill Medicare for Se Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Se Park reassigns Medicare benefits to 3 organizations: Uci Department Of Urology (Orange, CA), City Of Hope Medical Foundation (Duarte, CA) and Wellstar Medical Group, LLC (Dallas, GA). Each 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 Se Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Se Park accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Se 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 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 11 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.
# Se J Park, NP-C, DNP · NPI 1871031518
Nurse Practitioner physician in Irvine, California. Individual provider, active in the CMS NPPES registry since February 2, 2017.
## Identity
- **NPI:** 1871031518 (Entity type: Individual)
- **Enumerated:** February 2, 2017
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95023379 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 FIVEPOINT, Irvine, CA 92618-2377
- **Phone:** (800) 826-4673
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Uci Department Of Urology (NPI 1255398533, Orange, CA); City Of Hope Medical Foundation (NPI 1871886366, Duarte, CA); Wellstar Medical Group, LLC (NPI 1063790350, Dallas, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Emory University School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** October 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1871031518) · Data from the CMS NPPES public registry.