Active NPI
Ye Jin Park, PA-C
- Physician Assistant
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MP7840398
- Practice address
- 3901 Hoyt Ave
Everett, WA 98201-4918 - Phone
- (425) 339-5411
- NPI assigned
- May 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MP7840398 | WA | Primary |
| Surgical Physician Assistant | 363AS0400X | PA61370219 | WA |
Addresses
Primary practice location
3901 Hoyt Ave
Everett, WA 98201-4918
Mailing address
7600 Evergreen Way
Everett, WA 98203-6421
Phone (206) 860-5414
Other practice location 1
8923 Soper Hill Rd
Marysville, WA 98270-6882
Phone (206) 860-5414
Other practice location 2
550 17th Ave Ste 500
Seattle, WA 98122-5789
Phone (206) 320-2800
Other practice location 3
11800 NE 128th St Fl 5
Kirkland, WA 98034-7208
Phone (206) 860-5414
Other practice location 4
2901 174th St NE
Marysville, WA 98271-4743
Phone (360) 454-1900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2238005 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1330 Rockefeller Ave
Everett, WA 98201-1684
Phone (425) 259-0966
3901 Hoyt Ave
Everett, WA 98201-4918
Phone (425) 339-5442
3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 259-0966
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.1 of 100
- Quality
- 84.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA61370219 | WA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Polyclinic PLLC | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| The Polyclinic PLLC | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| Swedish Health Services | Past | Accepting new patients | |
| The Polyclinic PLLC | Past | Accepting new patients | |
| Optum Care Washington PLLC | Past | Accepting new patients |
Locations
7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800
3901 Hoyt Ave
Everett, WA 98201
Phone (425) 258-3903
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
1600 E Jefferson St
Ste 101
Seattle, WA 98122
Phone (206) 320-3100
9709 3rd Ave NE
Seattle, WA 98115
Phone (206) 525-5777
1145 Broadway
Seattle, WA 98122
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299
1812 S J St
Ste 102
Tacoma, WA 98405
Phone (253) 552-4900
Interoperability endpoints
- ypark94564@direct.tecmc.com
- ypark1831262@wm.providencedirect.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1831186766
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1689612954
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1194428425
-
- Ambulatory Surgical Clinic/Center
- Arlington, WA
- NPI 1366154304
-
dba Optum Tacoma
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
-
- Ambulatory Surgical Clinic/Center
- Everett, WA
- NPI 1154318103
-
dba Optum Care Washington
- Durable Medical Equipment & Medical Supplies
- Seattle, WA
- NPI 1346620200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1205450863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 EVERGREEN WAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982036421",
"telephone_number": "206-860-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 HOYT AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014918",
"telephone_number": "425-339-5411"
}
],
"practiceLocations": [
{
"address_1": "8923 Soper Hill Rd",
"address_purpose": "LOCATION",
"city": "Marysville",
"state": "WA",
"postal_code": "982706882",
"country_code": "US",
"telephone_number": "206-860-5414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "550 17th Ave Ste 500",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981225789",
"country_code": "US",
"telephone_number": "206-320-2800",
"fax_number": "206-320-2827",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11800 NE 128th St Fl 5",
"address_purpose": "LOCATION",
"city": "Kirkland",
"state": "WA",
"postal_code": "980347208",
"country_code": "US",
"telephone_number": "206-860-5414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2901 174th St NE",
"address_purpose": "LOCATION",
"city": "Marysville",
"state": "WA",
"postal_code": "982714743",
"country_code": "US",
"telephone_number": "360-454-1900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARK",
"first_name": "YE",
"middle_name": "JIN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-29",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "MP7840398",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA61370219",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2238005",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.