Min Park, NP
NPI 1619826476 · Family Nurse Practitioner · Fairfax, VA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Min Park, NP is a Family Nurse Practitioner provider in Fairfax, VA (NPI 1619826476).
Provider details
- NPI number
- 1619826476
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- 0024195870 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
- 2026-01-26
- Last updated
- 2026-01-26
- Certified
- 2026-01-26
Frequently asked questions
- What is Min Park's NPI number?
- Min Park's National Provider Identifier (NPI) is 1619826476, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Min Park's specialty?
- Min Park is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Min Park located?
- Min Park's practice location on file with NPPES is 11240 Waples Mill Rd Ste 300, Fairfax, VA 22030-6078.
- What is Min Park's phone number?
- The practice phone number listed in the NPPES registry for Min Park is (571) 407-5042.
- Does Min Park accept Medicare?
- Min Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Min Park's NPI active?
- Yes — Min Park's NPI (1619826476) is active in the NPPES registry as of the last update on 2026-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.