SUSAN S PARK CRNP
NPI 1962979989
Registered Nurse in West Reading, PA

NPI Status: Active since October 29, 2018

Contact Information

420 S 5TH AVE
WEST READING, PA
ZIP 19611
Phone: (484) 628-4879

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  • Individual
  • Female
  • Years of Experience 8
  • Registered Nurse
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SUSAN PARK

This page provides the complete NPI Profile along with additional information for Susan Park, a provider established in West Reading, Pennsylvania with a medical specialization in Registered Nurse and more than 8 years of experience. The healthcare provider is registered in the NPI registry with number 1962979989 assigned on October 2018. The practitioner's primary taxonomy code is 163W00000X with license number SP019676 (PA). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1962979989
Provider Name
SUSAN S PARK CRNP
Gender
Female
Entity Type
Individual
Location Address
420 S 5TH AVE WEST READING, PA 19611
Location Phone
(484) 628-4879
Mailing Address
PO BOX 13579 READING, PA 19612
Mailing Phone
(484) 628-0799
Mailing Fax
Medical School Name
OTHER
Graduation Year
2018
Is Sole Proprietor?
No
Enumeration Date
10-29-2018
Last Update Date
12-05-2018
Code Navigator

A registered nurse (RN) like Susan Park coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.

Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Registered Nurse

Taxonomy Code
163W00000X
Type
Nursing Service Providers
License No.
SP019676
License State
PA
Taxonomy Description
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

RN651712 (PA)

Medicare Participation & PECOS Enrollment Status

Susan Park is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Susan Park is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 446596621

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20190109000072

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Susan Park is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
HOSPITAL OF UNIV OF PENNSYLVANIA34TH & SPRUCE STS
PHILADELPHIA, PA 19104
(215) 662-3227Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962979989, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 81. The final step is to find the difference between that total and the next multiple of ten (90 - 81 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 9 → 18 → 9 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 1 + 8 + 7 + 1 + 8 + 9 + 1 + 6 + 24 = 81

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 81 is 90. The difference is the calculated check digit.

90 - 81 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1962979989.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
420 S 5TH AVE
WEST READING, PA 19611
Internal Medicine
420 S 5TH AVE
WEST READING, PA 19611
Emergency Medicine
420 S 5TH AVE
WEST READING, PA 19611
Family Medicine
420 S 5TH AVE
WEST READING, PA 19611
Obstetrics & Gynecology
420 S 5TH AVE
WEST READING, PA 19611
Internal Medicine
420 S 5TH AVE
WEST READING, PA 19611
Internal Medicine
420 S 5TH AVE
WEST READING, PA 19611
Physician Assistant
420 S 5TH AVE
WEST READING, PA 19611
Nurse Anesthetist, Certified Registered
420 S 5TH AVE
WEST READING, PA 19611
Registered Nurse (Neonatal Intensive Care)
420 S 5TH AVE
WEST READING, PA 19611
Nurse Anesthetist, Certified Registered
420 S 5TH AVE
WEST READING, PA 19611
Midwife
420 S 5TH AVE
WEST READING, PA 19611
Internal Medicine (Hematology & Oncology)
420 S 5TH AVE, BLDG N GROUND READING HOSPITAL REGIONAL CANCER CTR
WEST READING, PA 19611
Obstetrics & Gynecology (Gynecologic Oncology)
420 S 5TH AVE, N BLDG GROUND FLOOR
WEST READING, PA 19611
Internal Medicine
420 S 5TH AVE
WEST READING, PA 19611
Nurse Practitioner (Gerontology)
420 S 5TH AVE
WEST READING, PA 19611
Nurse Practitioner (Gerontology)
420 S 5TH AVE
WEST READING, PA 19611
Internal Medicine
420 S 5TH AVE
READING, PA 19611
Psychiatric Unit
420 S 5TH AVE
WEST READING, PA 19611
Durable Medical Equipment & Medical Supplies
420 S 5TH AVE
WEST READING, PA 19611

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962979989, enumerated as an "individual" on October 29, 2018.

The provider is located at 420 S 5TH AVE WEST READING, PA 19611 and the phone number is (484) 628-4879.

Registered Nurse with taxonomy code 163W00000X.

Susan Park is affiliated with: HOSPITAL OF UNIV OF PENNSYLVANIA.