EMILY CORRINE PARK
NPI 1871424812
Nurse Practitioner - Family in Normal, IL

Active since May 28, 2026PECOS Enrolled
1302 FRANKLIN AVE, NORMAL, IL 61761(309) 268-2920 Get Directions Write a Review

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

Record update history: Aug 25, 2026, Aug 19, 2026, May 28, 2026 (3 updates tracked since 2026).

About Emily Corrine Park NPPES

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

EMILY CORRINE PARK (NPI 1871424812) is an individual family provider in Normal, Illinois, licensed in Illinois (209.036323) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1871424812
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEMILY CORRINE PARK
Location Address1302 FRANKLIN AVENormal, IL 61761-3551
Mailing Address1302 Franklin AveNormal, IL 61761-3551
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMay 28, 2026
Last NPPES UpdateAugust 25, 20263 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1871424812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.036323
Also ListedRegistered NurseTaxonomy 163W00000X · License 041.496941 (IL)
1302 FRANKLIN AVE, Normal, IL 61761

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Corrine Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365902863
PECOS Enrollment IDI20260903003238
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 Emily Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 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 61761 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Behavior Technician
1302 FRANKLIN AVE
NORMAL, IL 61761
Internal Medicine (Cardiovascular Disease)
1302 FRANKLIN AVE, SUITE 4500
NORMAL, IL 61761
Obstetrics & Gynecology
1302 FRANKLIN AVE, SUITE 2200
NORMAL, IL 61761
Internal Medicine (Cardiovascular Disease)
1302 FRANKLIN AVE, #4500
NORMAL, IL 61761
Nurse Practitioner (Family)
1302 FRANKLIN AVE, SUITE 3400
NORMAL, IL 61761
Behavior Technician
1302 FRANKLIN AVE
NORMAL, IL 61761
Behavior Technician
1302 FRANKLIN AVE
NORMAL, IL 61761
Internal Medicine (Pulmonary Disease)
1302 FRANKLIN AVE, #2200
NORMAL, IL 61761

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 Emily Park's NPI number?

The NPI number for Emily Park is 1871424812. It was assigned to this individual provider in the NPPES registry on May 28, 2026.

Where is Emily Park located?

Emily Park practices at 1302 Franklin Ave, Normal, IL 61761. The listed phone number is (309) 268-2920.

What is Emily Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Emily Park enrolled in Medicare?

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

Which organization bills Medicare for Emily Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Park reassigns Medicare benefits to Carle Health Medical Group (Urbana, IL). 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 Emily 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 Emily Park was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.