Jewel Park, MD
NPI 1780325381 · Pediatrics Physician · Shelton, WA
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jewel Park, MD is a Pediatrics Physician provider in Shelton, WA (NPI 1780325381).
Provider details
- NPI number
- 1780325381
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD61606820 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
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
- 2022-04-06
- Last updated
- 2025-09-04
- Certified
- 2025-09-04
Frequently asked questions
- What is Jewel Park's NPI number?
- Jewel Park's National Provider Identifier (NPI) is 1780325381, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jewel Park's specialty?
- Jewel Park is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Jewel Park located?
- Jewel Park's practice location on file with NPPES is 1701 N 13th St, Shelton, WA 98584-2077.
- What is Jewel Park's phone number?
- The practice phone number listed in the NPPES registry for Jewel Park is (360) 426-2653.
- Does Jewel Park accept Medicare?
- Jewel Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jewel Park's NPI active?
- Yes — Jewel Park's NPI (1780325381) is active in the NPPES registry as of the last update on 2025-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.