Individual provider Active NPI

Bailey Park, CRNA

  • Certified Registered Nurse Anesthetist
  • Hastings, NE
National Provider Identifier
1669265583
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101926 Issued in NE
Practice address
715 N Saint Joseph Ave
Hastings, NE 68901-4451
Phone
(402) 460-5899
NPI assigned
May 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2025

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 AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 101926 NE Primary

Addresses

Primary practice location

715 N Saint Joseph Ave
Hastings, NE 68901-4451

Mailing address

8771 Executive Woods Dr Apt 56
Lincoln, NE 68512-9343

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250630001707 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860905262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Mary Lanning Memorial Hospital AssociationGroup PAC ID 4587575550, 129 clinicians

Practice addresses (Care Compare)

715 N Saint Joseph Ave
Mary Lanning Healthcare
Hastings, NE 68901-4451
Phone (402) 463-4521

Hospital & facility affiliations

  • Mary Lanning Healthcare Hospital, Hastings, NE, CCN 280032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Mary Lanning Memorial Hospital Association Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
The Mary Lanning Memorial Hospital Association Single Specialty CurrentSince Jul 1, 2025 Accepting new patients

Locations

715 N Saint Joseph Ave
Hastings, NE 68901
Phone (402) 461-5036

Organizations & group practices 2

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": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1669265583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8771 EXECUTIVE WOODS DR APT 56",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685129343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N SAINT JOSEPH AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014451",
            "telephone_number": "402-460-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "BAILEY",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.