YOONI PARK (ARNP) – Nurse Practitioner, NPI 1205217353
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for YOONI PARK (ARNP)
800 164th St SE Ste P
Mill Creek, WA 980126301
Phone: (425) 434-4231
Type: Location
2615 Willetta St SW Ste C2
Albany, OR 973213486
Phone: (541) 812-5600
Type: Location
11812 N Creek Pkwy N Ste 202
Bothell, WA 980118202
Phone: (425) 287-5500
Fax: (425) 287-6440
Type: Location
PO BOX 15107
MILL CREEK, WA 980823107
Phone:
Type: Mailing
800 164TH ST SE STE P
MILL CREEK, WA 980126301
Phone: (425) 434-4231
Type: Location
PO BOX 5127
EVERETT, WA 982065127
Phone: (425) 259-0966
Fax: (425) 257-1433
Type: Mailing
3901 HOYT AVE
EVERETT, WA 982014988
Phone: (425) 259-0966
Fax: (425) 257-1433
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $38.
Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.
Last reported payment date: 2023-06-20 • Largest payer in this snapshot: Arcutis Biotherapeutics, Inc. ($38).
Total Amount
$38
General + Research + Ownership
Payments
2
Total payment records
General Amount
$38
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arcutis Biotherapeutics, Inc. | $38 |
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: 2017-12-06
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 |
|---|---|---|---|---|
| I20171206002616 | I | Nurse Practitioner | WA | 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 | 342 | 288 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 50 | 40 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 44 | 43 | $0 |
Insurance plans in this area (ZIP 98012)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Nurse Practitioner | WA |
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