Individual provider Active NPI

Sun Hee Park, CRNP

  • Primary Care Nurse Practitioner
  • Plymouth Meeting, PA
National Provider Identifier
1285151159
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP015868 Issued in PA
Practice address
4070 Butler Pike Ste 200
Plymouth Meeting, PA 19462-1510
Phone
(610) 825-5741
Fax
(610) 825-2501
NPI assigned
Aug 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X SP015868 PA Primary

Addresses

Primary practice location

4070 Butler Pike Ste 200
Plymouth Meeting, PA 19462-1510

Mailing address

4070 Butler Pike Ste 200
Plymouth Meeting, PA 19462-1510
Phone (610) 825-5741

Other identifiers 1

IdentifierTypeStateIssuer
SP015868OtherPACRNP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170925001555 PA Practitioner - Nurse Practitioner 4284908609 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Jefferson Medical College of Thomas Jefferson University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fornance Physician Services IncGroup PAC ID 8527962661, 105 clinicians

Practice addresses (Care Compare)

1330 Powell St
Suite 409
Norristown, PA 19401-3351
Phone (484) 622-7510

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP015868PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Community Health Associates, Inc Multi-Specialty CurrentSince Jan 1, 2026 Accepting new patients
Fornance Physician Services, Inc Multi-Specialty CurrentSince Jul 25, 2017 Accepting new patients
Fornance Physician Services, Inc. Multi-Specialty Current Accepting new patients
Einstein Community Health Associates, Inc Multi-Specialty CurrentSince Jan 1, 2026 Accepting new patients
Fornance Physician Services, Inc. CurrentSince Jul 25, 2017 Accepting new patients
Fornance Physician Services, Inc Multi-Specialty Current Accepting new patients
Fornance Physician Services, Inc. Multi-Specialty Past Accepting new patients

Locations

721 Skippack Pike
Ste 3
Blue Bell, PA 19422
Phone (215) 793-0600

100 Market St
Ste 300
Collegeville, PA 19426
Phone (484) 622-6400

612 Fayette St
Fl 2
Conshohocken, PA 19428
Phone (484) 622-6500

210 Mall Blvd
Ste 102
Kng of Prussa, PA 19406
Phone (610) 265-0726

1437 DeKalb St
Ste 201
Norristown, PA 19401
Phone (610) 272-5341

1330 Powell St
Ste 409
Norristown, PA 19401
Phone (484) 622-7510

342 W Germantown Pike
Ste 200
Norristown, PA 19403
Phone (610) 279-1500

5501 York Rd
Ste 202
Philadelphia, PA 19141
Phone (215) 254-2630

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

4070 Butler Pike
Ste 200
Plymouth Mtng, PA 19462
Phone (610) 825-5741

Interoperability endpoints

  • Direct secure messaging: sunhee.park@direct.einstein.edu

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1285151159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 BUTLER PIKE STE 200",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621510",
            "telephone_number": "610-825-5741",
            "fax_number": "610-825-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 BUTLER PIKE STE 200",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621510",
            "telephone_number": "610-825-5741",
            "fax_number": "610-825-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SUN HEE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP015868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP",
            "identifier": "SP015868",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth Meeting, PA

Sources for this page

Verify at the official NPI Registry.