Individual provider Active NPI

Woo Park, CRNA

  • Certified Registered Nurse Anesthetist
  • Elkhart, IN
National Provider Identifier
1619929965
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28159121 Issued in IN
Practice address
500 N Nappanee St
Suite 11B
Elkhart, IN 46514-1503
Phone
(574) 522-9922
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 28159121 IN Primary

Addresses

Primary practice location

500 N Nappanee St
Suite 11B
Elkhart, IN 46514-1503

Mailing address

541 Otis Bowen Dr
Munster, IN 46321-4158
Phone (219) 934-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040316000875 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416847330 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Clinical Colleagues IncGroup PAC ID 8729011333, 170 clinicians
Cameron Memorial Community Hospital IncGroup PAC ID 9234020835, 83 clinicians

Practice addresses (Care Compare)

2001 Stults Rd
Huntington, IN 46750-1291
Phone (260) 355-3000

416 E Maumee St
Angola, IN 46703-2015
Phone (260) 665-2141

Hospital & facility affiliations

  • Parkview Huntington Hospital Hospital, Huntington, IN, CCN 150091
  • Cameron Health Hospital, Angola, IN, CCN 151315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
33856KYMDObesity Medicine (Family Medicine) Physician
28159121INMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Iceland Anesthesia Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 8, 2021 Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 7, 2018 Accepting new patients
Great Lakes Anesthesia, P.C. Nurse Anesthetist, Certified Registered CurrentSince Dec 8, 2003 Accepting new patients
Ams Northern Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2020 Accepting new patients
Cameron Memorial Community Hospital, Inc. CurrentSince Apr 12, 2025 Accepting new patients
Cameron Memorial Community Hospital, Inc CurrentSince Apr 12, 2025 Accepting new patients
Australia Anesthesia Management LLC CurrentSince Jan 16, 2025 Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Jackson Hospital Corporation Nurse Anesthetist, Certified Registered Past Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Past Accepting new patients
Appalachian Regional Healthcare, Inc Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000

9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100

1004 Parkway Ave
Ste A
Elkhart, IN 46516
Phone (800) 966-7841

500 N Nappanee St
Ste 11B
Elkhart, IN 46514

1721 Magnavox Way
Fort Wayne, IN 46804
Phone (260) 250-0001

200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141

1605 Winsted Dr
Goshen, IN 46526
Phone (574) 271-0013

2001 Stults Rd
Huntington, IN 46750
Phone (219) 355-3000

401 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-1100

207 N Townline Rd
Lagrange, IN 46761
Phone (260) 266-5300

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181

Interoperability endpoints

  • Direct secure messaging: wpark88443@direct.parkviewexchange.com

Organizations & group practices 11

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619929965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 OTIS BOWEN DR",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214158",
            "telephone_number": "219-934-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N NAPPANEE ST",
            "address_2": "SUITE 11B",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465141503",
            "telephone_number": "574-522-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "WOO",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28159121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.