DOROTHY INNE PARK (CRNA, RN) – Certified Registered Nurse Anesthetist, NPI 1801260757

DOROTHY INNE PARK (CRNA, RN) is a healthcare provider. based in Seattle, Washington. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA, RN. They hold a License No. 95000412 (CA). The NPI Number for DOROTHY INNE PARK (CRNA, RN) is 1801260757

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DOROTHY INNE PARK (CRNA, RN)
NPI
1801260757
Phone
(360) 951-1785
Address
6312 54TH AVE NE
Enumeration Date
16 November 2015
Last Update Date
23 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8003403595
Graduation Year
2015 (11 years ago)
PAC ID
2365749504
Group Practice PAC ID
7315317112
Professional Enrollment ID
I20220315000269
Address ID
WA980038714FE34719SXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,455 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

Provider Addresses for DOROTHY INNE PARK (CRNA, RN)

  • 6312 54TH AVE NE

    SEATTLE, WA 981157721

    Phone: (360) 951-1785

    Type: Mailing

  • 95 BEHR AVE APT 206

    SAN FRANCISCO, CA 941311180

    Phone: (360) 951-1785

    Type: Mailing

  • 1101 MADISON ST STE 301

    SEATTLE, WA 981043599

    Phone: (360) 951-1785

    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.

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: 2022-03-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220315000269ICertified Registered Nurse Anesthetist (Crna)WATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery8676$0
00812Anesthesia for exam of colon using an endoscope4141$0
View full utilization report →

Insurance plans in this area (ZIP 98115)

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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: 7315317112View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)WA

Reviews

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Frequently asked questions

Is DOROTHY INNE PARK (CRNA, RN) listed with a National Provider Identifier?
Yes — DOROTHY INNE PARK (CRNA, RN) has NPI 1801260757 on file in the registry.
Is DOROTHY INNE PARK (CRNA, RN) still an active registrant?
DOROTHY INNE PARK (CRNA, RN) carries an active NPI according to the public dataset.
What kind of doctor is DOROTHY INNE PARK (CRNA, RN)?
DOROTHY INNE PARK (CRNA, RN) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DOROTHY INNE PARK (CRNA, RN)?
Directory geography for DOROTHY INNE PARK (CRNA, RN) centers on Seattle, Washington.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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