Elizabeth Pak, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP020867 Issued in PA

Practice address

390 Commerce Dr # 220
Fort Washington, PA 19034-2600

Phone

(267) 715-2089

Fax

(267) 361-1300

NPI assigned

Sep 28, 2019

Last updated

Dec 18, 2025By 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 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Co Mhar IncGroup PAC ID 1951398452, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Comhar, Inc

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1013043702
  Medicare reassignment Care Compare group NPD
• Impak Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Washington, PA
  • NPI 1508617283
  NPD Authorized official
• Comhar Inc

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1144343724
  NPD
• Springfield Psychological PC

  dba Associates of Springfield Psychological

  • Mental Health Counselor
  • Springfield, PA
  • NPI 1295705317
  NPD

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

{
    "created_epoch": "1569628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1619528833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 COMMERCE DR # 220",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342600",
            "telephone_number": "267-715-2089",
            "fax_number": "267-361-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 COMMERCE DR # 220",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342600",
            "telephone_number": "267-715-2089",
            "fax_number": "267-361-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "ELIZABETH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-28",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP020867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernice Osei
• Lindsay Osgood
• Kwasi Owusu
• Kehinde Oyelakim
• Larissa Page
• Alexandra Pappas, LCSW
• Pratyush Parasana
• Charlie Park
• Cherline Pascal, LPN
• Andrew Gennaro Passerini

• Psychiatric/Mental Health Nurse Practitioner in Fort Washington, PA
• Providers in Fort Washington, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.