Shawn Young-Shin Park, RN

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN725312 Issued in PA

Practice address

201 State St
Erie, PA 16550-0002

Phone

(814) 877-6000

NPI assigned

Feb 9, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Susquehanna Physician ServicesGroup PAC ID 2264336460, 611 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Upmc Williamsport Hospital, Williamsport, PA, CCN 390045

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

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.

• Susquehanna Physician Services

  • Pain Medicine Physician
  • Williamsport, PA
  • NPI 1639114689

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Patient Services of Pennsylvania LLC

  • Anesthesiology Physician
  • Melville, NY
  • NPI 1659752921

  PA

  Medicare reassignment NPD
• North American Partners in Anesthesia, Pennsylvania , LLC

  • Anesthesiology Physician
  • Melville, NY
  • NPI 1639137854

  Nurse Anesthetist, Certified Registered, PA

  Medicare reassignment NPD
• Susquehanna Physician Services

  • Radiology Clinic/Center
  • Mansfield, PA
  • NPI 1073361564
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Upmc Williamsport

  • Land Ambulance
  • Williamsport, PA
  • NPI 1093890360

  Hospital

  Care Compare affiliation
• Upmc Williamsport

  • Ambulatory Surgical Clinic/Center
  • Williamsport, PA
  • NPI 1225500770

  Hospital

  Care Compare affiliation
• Upmc Williamsport

  • Ambulatory Surgical Clinic/Center
  • Williamsport, PA
  • NPI 1285719559

  Hospital

  Care Compare affiliation
• Upmc Williamsport

  • General Acute Care Hospital
  • Williamsport, PA
  • NPI 1609801976
  Care Compare affiliation
• Upmc Williamsport

  • Psychiatric Hospital Unit
  • Williamsport, PA
  • NPI 1649746488
  Care Compare affiliation
• Upmc Williamsport

  • General Acute Care Hospital
  • Williamsport, PA
  • NPI 1740365097
  Care Compare affiliation
• Upmc Williamsport

  • Primary Care Clinic/Center
  • Williamsport, PA
  • NPI 1982788048

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1982301008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165500002",
            "telephone_number": "814-877-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165500002",
            "telephone_number": "814-877-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SHAWN",
        "middle_name": "YOUNG-SHIN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-09",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN725312",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN725312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA RN LICENCE",
            "identifier": "RN725312",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "parksy4@upmc.edu",
            "affiliation": "N",
            "endpointDescription": "Hospital E-mail Address",
            "address_1": "201 State St",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165500002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Orestis Pappas, MD
• Myrrah Pardini
• Juan Antonio Paredes Vasquez, MD
• Adrianne Paris, RPH
• Chong Shick Park, M.D.
• Gregory J Parker, LPC
• Kayla Renee Parker, LPC, NCC
• Tayler Parkin, M.A., CCC-SLP
• Amy Lynn Parrett
• Annette Parrini

• Certified Registered Nurse Anesthetist in Erie, PA
• Providers in Erie, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.