BOBBI PARK (FNP-C) – Family Nurse Practitioner, NPI 1194179705
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BOBBI PARK (FNP-C)
106 19TH AVE STE 103
MOLINE, IL 612653700
Phone: (309) 779-7050
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 185 Open Payments records for all available years, with a total value of $3,311.
Total Amount is formed as General ($3,311) + Research ($0) + Ownership ($0) = $3,311.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ABBVIE INC. ($876).
Total Amount
$3,311
General + Research + Ownership
Payments
185
Total payment records
General Amount
$3,311
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $876 |
| Janssen Biotech, Inc. | $487 |
| Takeda Pharmaceuticals U.S.A., Inc. | $367 |
| Phathom Pharmaceuticals, Inc. | $287 |
| NESTLE HEALTHCARE NUTRITION INC. | $245 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-08-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160512002069 | I | Nurse Practitioner | IA | TBD |
| I20160804000657 | I | Nurse Practitioner | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 366 | 272 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 141 | 141 | $0 |
| 46221 | Removal of external hemorrhoids by rubber banding | 19 | 11 | $0 |
Insurance plans in this area (ZIP 61265)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | IA | |
| Nurse Practitioner | IA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Pediatric Medicine | IA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | IA | |
| - | IA | |
| Internal Medicine | IA | |
| Emergency Medicine | FL | |
| Physician Assistant | IA | |
| - | IA | |
| - | IA |
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