MRS. MELISSA LEE PARK (MD) – Internal Medicine Physician, NPI 1386676039

Internal Medicine Physician

MRS. MELISSA LEE PARK (MD) is a healthcare provider. based in Moscow, Idaho. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 015943 (ME). The NPI Number for MRS. MELISSA LEE PARK (MD) is 1386676039

Main info

Female

30 Years Of Experience

Accepts Medicare Assignment

Name

MRS. MELISSA LEE PARK (MD)

NPI

1386676039

Phone

(208) 459-4667

Address

803 S Main St Ste 120

Enumeration Date

6 July 2006

Last Update Date

22 July 2020

Doctor Profile

Medical School Name

UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE

Secondary Phone

2088488300

Graduation Year

1996 (30 years ago)

PAC ID

7719958677

Group Practice PAC ID

9638063217

Professional Enrollment ID

I20090316000711

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience71

Completeness75

Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for MRS. MELISSA LEE PARK (MD)

803 S Main St Ste 120
Moscow, ID 838432695
Phone: (208) 459-4667
Fax: (208) 459-3372
Type: Location
Iron Bridge Way, East Central, Spokane, Spokane County, Washington, 99202, United States
SPOKANE, WA 992024932
Phone: (509) 444-8888
Type: Mailing
1203, Idaho Street, Lewiston, Nez Perce County, Idaho, 83501, United States
LEWISTON, ID 835011940
Phone: (509) 444-8888
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83843)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 9638063217View full group profile

Name	Specialty	State
LILA ANNE ERICKSON (MSPAS, PA-C)	Physician Assistant	WA
MICHAEL COLVER	Nurse Practitioner	WA
JULIA ANNE PLATT (ARNP)	Nurse Practitioner	WA
DENISE RENEE BARNES (CNM)	Certified Nurse Midwife (Cnm)	WA
LISA H FREELAND (CNM)	Certified Nurse Midwife (Cnm)	WA
DANIEL JOHN TROUPE (PA)	Physician Assistant	WA
JANET RUTH DEEGAN (MD)	-	WA
STACY GRAY (ARNP)	Nurse Practitioner	WA
DEAN ROSS CRANNEY (MD)	-	WA
MS. LAUREN MORRIS (LMHC)	Mental Health Counselor	WA

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Frequently asked questions

Is MRS. MELISSA LEE PARK (MD) listed with a National Provider Identifier?

Yes — MRS. MELISSA LEE PARK (MD) has NPI 1386676039 on file in the registry.

Active or inactive — what applies to MRS. MELISSA LEE PARK (MD)?

You should see MRS. MELISSA LEE PARK (MD) as active in CMS-hosted NPPES data.

What kind of doctor is MRS. MELISSA LEE PARK (MD)?

MRS. MELISSA LEE PARK (MD) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.

Is MRS. MELISSA LEE PARK (MD) associated with Moscow?

Public fields place MRS. MELISSA LEE PARK (MD) around Moscow, Idaho. Always confirm the exact site before visiting.

Does inactive status remove historical data?

Historical rows can remain visible after status changes — read the dates carefully.