Charlie Park, CRNA
NPI 1396409660 · Certified Registered Nurse Anesthetist · Fort Worth, TX
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Charlie Park, CRNA is a Certified Registered Nurse Anesthetist provider in Fort Worth, TX (NPI 1396409660).
Provider details
- NPI number
- 1396409660
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-10-23
- Last updated
- 2022-03-02
- Certified
- 2022-03-02
Frequently asked questions
- What is Charlie Park's NPI number?
- Charlie Park's National Provider Identifier (NPI) is 1396409660, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charlie Park's specialty?
- Charlie Park is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Charlie Park located?
- Charlie Park's practice location on file with NPPES is 801 7th Ave, Fort Worth, TX 76104-2733.
- What is Charlie Park's phone number?
- The practice phone number listed in the NPPES registry for Charlie Park is (682) 885-4054.
- Does Charlie Park accept Medicare?
- Charlie Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Charlie Park's NPI active?
- Yes — Charlie Park's NPI (1396409660) is active in the NPPES registry as of the last update on 2022-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.