John Park, APRN
NPI 1477389773 · Family Nurse Practitioner · Champaign, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Park, APRN is a Family Nurse Practitioner provider in Champaign, IL (NPI 1477389773).
Provider details
- NPI number
- 1477389773
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 209030497 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% 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
- 2024-09-12
- Last updated
- 2025-01-30
- Certified
- 2025-01-30
Frequently asked questions
- What is John Park's NPI number?
- John Park's National Provider Identifier (NPI) is 1477389773, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Park's specialty?
- John Park is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is John Park located?
- John Park's practice location on file with NPPES is 1907 W Springfield Ave Ste B, Champaign, IL 61821-3098.
- What is John Park's phone number?
- The practice phone number listed in the NPPES registry for John Park is (217) 530-0220.
- Does John Park accept Medicare?
- John Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Park's NPI active?
- Yes — John Park's NPI (1477389773) is active in the NPPES registry as of the last update on 2025-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.