MICHELLE HORNBAKER-PARK (M.D.) – Psychiatry Physician, NPI 1265673263
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
541 PSYCHIATRY in TN
Provider Addresses for MICHELLE HORNBAKER-PARK (M.D.)
315 Deaderick St Ste 1550
Nashville, TN 372383003
Phone: (833) 351-8255
Type: Location
109 W 27TH ST RM 5S
NEW YORK, NY 100016208
Phone: (833) 351-8255
Type: Mailing
66 E MAIN ST
2ND AND 3RD FLOOR (PRIVATE OFFICE 303)
WESTMINSTER, MD 21157
Phone: (833) 351-8255
Type: Location
109 W 27th St Rm 5S
New York, NY 100016208
Phone: (833) 351-8255
Type: Location
150 Riverside Pkwy Ste 115
Fredericksburg, VA 224061094
Phone: (833) 351-8255
Type: Location
1500 K St NW Fl 2
Washington, DC 200051209
Phone: (833) 351-8255
Type: Location
Colonel Florence A Blanchfield Army Community Hospital, 650, Joel Drive, Clarksville, Montgomery County, Tennessee, 42223, United States
BLANCHFIELD ARMY COMMUNITY HOSPITAL
FORT CAMPBELL, KY 422235318
Phone: (270) 412-3247
Type: Mailing
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.
This can happen when there are no reportable CMS Open Payments records.
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: 2026-02-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20221020000238 | I | Psychiatry | TN | TBD |
| I20221025000141 | I | Psychiatry | NY | TBD |
| I20221025001345 | I | Psychiatry | DC | TBD |
| I20260216001767 | I | Psychiatry | MD | 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 | 121 | 18 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 106 | 19 | $0 |
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | 20 | 20 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 37238)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | FL | |
| P S Y C H I A T R Y | MI | |
| P S Y C H I A T R Y | NY | |
| Clinical Social Worker | FL | |
| P S Y C H I A T R Y | FL | |
| P S Y C H I A T R Y | IN | |
| P S Y C H I A T R Y | CO | |
| P S Y C H I A T R Y | NY | |
| Clinical Social Worker | MA | |
| P S Y C H I A T R Y | NY |
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