TAYLOR JOHN PARK (FNP) – Family Nurse Practitioner, NPI 1629743612
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for TAYLOR JOHN PARK (FNP)
4790 EXECUTIVE CENTRE PKWY
SAINT PETERS, MO 633761606
Phone: (636) 441-3100
Fax: (636) 441-8072
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 21 Open Payments records for all available years, with a total value of $445.
Total Amount is formed as General ($445) + Research ($0) + Ownership ($0) = $445.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($192).
Total Amount
$445
General + Research + Ownership
Payments
21
Total payment records
General Amount
$445
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $192 |
| GlaxoSmithKline, LLC. | $119 |
| Merck Sharp & Dohme LLC | $33 |
| Itamar Medical Inc | $23 |
| GENZYME CORPORATION | $23 |
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: 2021-08-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20210812001126 | I | Nurse Practitioner | MO | 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 | 257 | 204 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 190 | 143 | $0 |
| 69210 | Removal of impacted ear wax | 145 | 115 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 82 | 22 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 41 | 22 | $0 |
Insurance plans in this area (ZIP 63376)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Otolaryngology, Allergy/Immunology | MO | |
| Qualified Audiologist | MO | |
| O T O L A R Y N G O L O G Y | MO | |
| Qualified Audiologist | MO | |
| Otolaryngology, Allergy/Immunology | MO | |
| Qualified Audiologist | MO | |
| Otolaryngology, Allergy/Immunology | MO |
Reviews
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