Ji Hye Park, FNP

NPI: 1063477016

Ji Hye Park, FNP

Q: What is Ji Hye Park's NPI number?

Ji Hye Park's NPI number is 1063477016, a unique 10-digit identifier issued by CMS.

Q: What does Ji Hye Park specialize in?

Ji Hye Park specializes in Nurse Practitioner, taxonomy code 363LF0000X.

Q: Where does Ji Hye Park practice?

Ji Hye Park practices in Roseville, CA 95661-3037.

Q: When was Ji Hye Park's NPI issued?

Ji Hye Park's NPI was issued on April 20, 2006.

Q: What is Ji Hye Park's provider type?

Ji Hye Park is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderNurse Practitioner

NPI issued: April 20, 2006

Quick Facts

NPI Number

1063477016

TypeIndividual

StatusActive

SpecialtyNurse Practitioner

Taxonomy363LF0000X — Nurse Practitioner

Phone

(916) 781-5000

StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1063477016)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (April 20, 2006)

Data source: CMS NPPES

Provider Overview

JI HYE PARK, FNP is a Nurse Practitioner provider based in Roseville, CA who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1063477016

Provider TypeIndividual Provider

GenderFemale

CredentialFNP

StatusActive

Enumeration DateApril 20, 2006

Practice Location

CityRoseville

StateCA

ZIP Code95661-3037

Phone(916) 781-5000

Specialties & Licenses

★ Primary

SpecialtyNurse Practitioner

Taxonomy Code363LF0000X

License StateCA

Mailing Address

CityRoseville

StateCA

ZIP Code95661-3037

Phone(916) 781-5000

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1063477016 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1063477016for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1063477016 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

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