Kristine Park, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1018483 Issued in TX

Practice address

11212 State Highway 151 Ste 120
San Antonio, TX 78251-4498

Phone

(726) 243-8055

Fax

(726) 208-5624

NPI assigned

Oct 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

River City Internal MedicineGroup PAC ID 9335670728, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

39.69 of 100Reported as individual

Quality

30

Improvement activities

0

Cost

56.09

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristine.park.1@24630.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/24630/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/6170/brand/1/csg/1/fhir/r4

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.

• River City Internal Medicine

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1386470250
  Medicare reassignment Care Compare group NPD
• K&S Healthcare, LLC

  • Internal Medicine Physician
  • Converse, TX
  • NPI 1336491315
  Medicare reassignment NPD

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1497355135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11212 STATE HIGHWAY 151 STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 STATE HIGHWAY 151 STE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782514498",
            "telephone_number": "726-243-8055",
            "fax_number": "726-208-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "KRISTINE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1018483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• In Seok Park, MD
• Jacob Gyeongil Park, D.D.S.
• Jeena Shinyoung Park
• Jinhee Park
• Kristin Park, MD
• Tiffany Ruth Park, DO
• Carolyn Jean Parke, FNP
• Kathryn Anne Parke, DNP, ARNP,CPNP
• Alexander Parker
• Alicia Parker, M.D.

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.