SUSAN S PARK CRNP
NPI 1962979989
Registered Nurse in West Reading, PA
About Susan S Park Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN S PARK CRNP (NPI 1962979989) is an individual registered nurse in West Reading, Pennsylvania, licensed in Pennsylvania (SP019676) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Susan S Park Crnp 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
6Medicare enrollment records show Susan Park reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Reading, PA 19611
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,473 clinicians in this Medicare group
Pottstown, PA 19465
- Reassigned Medicare billing, Pennsylvania enrollment
- 474 clinicians in this Medicare group
Limerick, PA 19468
- Reassigned Medicare billing, Pennsylvania enrollment
- 529 clinicians in this Medicare group
West Grove, PA 19390
- Reassigned Medicare billing, Pennsylvania enrollment
- 106 clinicians in this Medicare group
Philadelphia, PA 19118
- Reassigned Medicare billing, Pennsylvania enrollment
- 176 clinicians in this Medicare group
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 289 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WEST READING, PA 19611
WEST READING, PA 19611
WEST READING, PA 19611
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 Susan Park's NPI number?
The NPI number for Susan Park is 1962979989. It was assigned to this individual provider in the NPPES registry on October 29, 2018.
Where is Susan Park located?
Susan Park practices at 420 S 5th Ave, West Reading, PA 19611. The listed phone number is (484) 628-4879.
What is Susan Park's specialty?
The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.
Is Susan Park enrolled in Medicare?
Yes. Susan 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 Susan Park's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Park reassigns Medicare benefits to 6 organizations: Tower Health Medical Group (West Reading, PA), Pottstown Clinic Company LLC (Pottstown, PA), Phoenixville Clinic Company LLC (Limerick, PA), West Grove Clinic Company LLC (West Grove, PA), Chestnut Hill Clinic Company, LLC (Philadelphia, PA) and 1 more organization, listed in the Medicare section above. 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 Susan Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Susan Park affiliated with any hospitals?
According to CMS data, Susan Park is affiliated with Hospital Of Univ Of Pennsylvania.
When was this NPI record last updated?
The NPPES record for Susan Park was last updated on December 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Susan S Park, CRNP · NPI 1962979989
Registered Nurse provider in West Reading, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 29, 2018.
## Identity
- **NPI:** 1962979989 (Entity type: Individual)
- **Enumerated:** October 29, 2018
- **Primary specialty:** Registered Nurse · taxonomy 163W00000X
- **State license:** SP019676 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 420 S 5TH AVE, West Reading, PA 19611-2143
- **Phone:** (484) 628-4879
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Tower Health Medical Group (NPI 1063589273, West Reading, PA); Pottstown Clinic Company LLC (NPI 1649341934, Pottstown, PA); Phoenixville Clinic Company LLC (NPI 1790746345, Limerick, PA); West Grove Clinic Company LLC (NPI 1093355992, West Grove, PA); Chestnut Hill Clinic Company, LLC (NPI 1285274969, Philadelphia, PA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 5, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1962979989) · Data from the CMS NPPES public registry.