Hyeyeon Park, AGACNP-BC
Individual provider Active NPI Acute Care Nurse Practitioner · Abington, PA
NPI 1316600034 · NPPES record last updated May 25, 2022
Key facts
- NPI
- 1316600034
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 110979 (WV)
- Practice address
- 1200 Old York Rd
Abington, PA 19001-3720 - Phone
- (267) 303-3485
- NPI assigned
- Oct 19, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Abington Memorial Hospital
Practice addresses (Care Compare)
1200 Old York Rd
Abington, PA 19001-3720
Phone (215) 481-4200
Hospital & facility affiliations
- Jefferson Abington Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220506001716 | PA | Practitioner - Nurse Practitioner | 2668859919 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110979 | WV | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Critical Care Physicians of Pennsylvania PC | Current |
Accepting new patients | |
| Abington Memorial Hospital | Current |
Accepting new patients | |
| Abington Memorial Hospital | Current |
Accepting new patients | |
| Womencare OB GYN, P.C. | Past | Accepting new patients |
Locations
1200 Old York Rd
#5
Abington, PA 19001
Phone (215) 481-4100
1200 York Rd
Abington, PA 19001
Phone (215) 481-2222
1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561
2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000
Interoperability endpoints
- hpark3837041@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 110979 | WV | Yes |
Addresses
Primary practice location
1200 Old York Rd
Abington, PA 19001-3720
Mailing address
2405 Maryland Rd Unit 146
Willow Grove, PA 19090-1764
Phone (304) 621-1919
Other providers in Abington, PA
- Pampering Plus Inc
- Jeffrey Charles Pan
- Joseph Pannulla
- Carol Ann Parente
- Amar Anil Parikh
- Courtney Eve Parker
- Danielle Parker
- Curt I Parnes
- Aditi Patel
- Alpa Vinubhai Patel
All providers in Abington, PA · Acute Care Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.