Melanie Park, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APRN-3983 Issued in HI

Practice address

55 Merchant St Ste 2900
Honolulu, HI 96813-4384

Phone

(808) 536-8012

NPI assigned

Apr 18, 2023

Sex

Female

Sole proprietor

Yes

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 HI

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waimanalo Health CenterGroup PAC ID 8527029198, 27 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 and National Provider Directory roles.

• Waimanalo Health Center

  • Federally Qualified Health Center (FQHC)
  • Waimanalo, HI
  • NPI 1780738005

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Bristol Palliative Care Services, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Salt Lake City, UT
  • NPI 1467930552

  HI

  Medicare reassignment

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1821784240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4836",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967448836",
            "telephone_number": "808-741-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MERCHANT ST STE 2900",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134384",
            "telephone_number": "808-536-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "MELANIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "HI",
            "license": "APRN-3983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jihyun Park, MD
• Jihyun Park
• Kelly Ann Fumie Park, DPT
• Lina Park
• Lisa Park
• Philip Duheung Park, DDS
• Sarah Y. Park, M.D.
• Sharon Park, MD
• Stefanie Midori Park, MD
• Suzanne I. Park, LCSW

• Adult Health Nurse Practitioner in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Adult Health Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.