Gloria Park, APRN/RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

79172 Issued in KS

Practice address

609 Liberty St
Clay Center, KS 67432-1564

Phone

(785) 632-2181

NPI assigned

Jan 30, 2020

Last updated

Oct 6, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clay County Medical CenterGroup PAC ID 6901959436, shared by 8 NPIs, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clay County Medical Center Hospital, Clay Center, KS, CCN 171371

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clay County Medical Center

  • Critical Access Hospital
  • Clay Center, KS
  • NPI 1265485817

  Nurse Practitioner

  Medicare reassignment NPD
• Clay County Medical Center

  dba Clay Center Family Physicians

  • Rural Health Clinic/Center
  • Clay Center, KS
  • NPI 1396108213
  Medicare reassignment NPD
• Pawnee Mental Health Service, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manhattan, KS
  • NPI 1275580524
  Medicare reassignment NPD
• Clay County Medical Center

  • Certified Registered Nurse Anesthetist
  • Clay Center, KS
  • NPI 1134163389

  Nurse Practitioner

  NPD
• Clay County Medical Center

  dba Clay Center Family Physicians

  • Health Service Clinic/Center
  • Clay Center, KS
  • NPI 1205299120

  Nurse Practitioner

  NPD
• Pawnee Mental Health Service, Inc.

  • Primary Care Clinic/Center
  • Manhattan, KS
  • NPI 1356139158
  NPD

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

• Clay County Medical Center

  • Critical Access Hospital
  • Clay Center, KS
  • NPI 1265485817
  Care Compare affiliation

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1336770205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 LIBERTY ST",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "674321564",
            "telephone_number": "785-632-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 LIBERTY ST",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "674321564",
            "telephone_number": "785-632-2181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Schurle Way",
            "address_purpose": "LOCATION",
            "city": "Riley",
            "state": "KS",
            "postal_code": "665319576",
            "country_code": "US",
            "telephone_number": "785-485-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "617 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Clay Center",
            "state": "KS",
            "postal_code": "674321564",
            "country_code": "US",
            "telephone_number": "785-632-2144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "GLORIA",
        "name_prefix": "Dr.",
        "credential": "APRN/RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "116035",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "79172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemary Neaderhiser, LSCSW
• Don Nebelung, PA-C
• Marian Nelson, M.D.
• Amanda Nye, RBT
• Oaklodges, LLC (Central Kansas Home Health)
• Scott Nolan Patterson, RPH
• Kaylea Pearson, D.C.
• Shawna Pederson, OTR
• Timothy M. Penner, M.D.
• Melissa R Petesch, LSCSW

• Psychiatric/Mental Health Nurse Practitioner in Clay Center, KS
• Providers in Clay Center, KS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.