Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154937241 Individual Practitioner Male Practitioner

Peter S Park , FNP

Nurse Practitioner • Grandview, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Peter Park, FNP is a certified Nurse Practitioner practicing in Grandview, WA. With approximately 6 years of clinical experience since completing medical education in 2020, Peter Park delivers high-quality medical care to the local community at 1003 WALLACE WAY.

Peter Park is affiliated with Prosser Public Hospital District Of Benton County and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1003 Wallace Way

Grandview, WA 989308805

Telephone 5097862222
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Grandview, WA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -1.0 yrs vs City Avg
City Avg: 7.0 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Grandview, WA (2339 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Park (6 Years) 6 Yrs
Grandview Specialty Average (7.0 Years) 7.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-06-02
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA AP61125867

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Prosser Public Hospital District Of Benton County

336 Chardonnay Ave, Prosser, WA 993509515

Prosser Public Hospital District Of Benton County

200 Prosser Health Dr, Prosser, WA 993507832

Phone: 5097886022

Prosser Public Hospital District Of Benton County

723 Memorial St, Prosser, WA 993501593

Prosser Public Hospital District Of Benton County

820 Memorial St, Prosser, WA 993502504

Phone: 50978655995599

Prosser Public Hospital District Of Benton County

723 Memorial St, Prosser, WA 993501524

Phone: 50978655995599

Prosser Public Hospital District Of Benton County

1003 Wallace Way, Grandview, WA 989308805

Phone: 5092031080

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

33 Associated Practitioners
Ashley Kenney , MOT, OTR, L

Occupational Therapist

NPI 1063359875

Master of Occupational Therapy, Occupational Therapist Registered, L

NPI 1083658074

Doctor of Medicine (M.D.)

Kevin Gurney , CRNA

Nurse Anesthetist, Certified Registered

NPI 1104037696

Certified Registered Nurse Anesthetist

Dr. Peter Culp , PT, DPT

Physical Therapist

NPI 1225663255

Physical Therapist, Doctor of Physical Therapy

Abigail Carson

Nurse Anesthetist, Certified Registered

NPI 1225901101
NPI 1265137400

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2021

Student in an Organized Health Care Education/Training Program

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2021

Nurse Practitioner (License #AP61125867 in WA)

📍
Updated Practice Location November 28, 2020

Registered at 1003 WALLACE WAY, GRANDVIEW, WA 989308805 (Tel: 5097862222)

📍
Updated Business Mailing Address November 28, 2020

Registered at 1003 WALLACE WAY, GRANDVIEW, WA 989308805 (Tel: 5092031080)

NPI Profile Active September 23, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 23, 2020

Registered at 820 MEMORIAL ST STE 1, PROSSER, WA 993502504 (Tel: 5097862010)

📍
Updated Business Mailing Address September 23, 2020

Registered at 820 MEMORIAL ST STE 1, PROSSER, WA 993502504 (Tel: 5097862010)

👤
Provider Name / Credentials Updated September 23, 2020

Recorded as PETER PARK, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration September 23, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Peter Park. Be the first to share your experience!

Sign in to leave a review for Peter Park

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1154937241
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2020
Last Update: June 02, 2021
Sole Proprietor: No

Mailing Address

1003 Wallace Way

Grandview, WA 989308805

Phone: 5092031080

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.