Mary Park, MD
NPI 1891351862 · Pediatrics Physician · Elk River, MN
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Park, MD is a Pediatrics Physician provider in Elk River, MN (NPI 1891351862).
Provider details
- NPI number
- 1891351862
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 2450 Riverside Ave Fl 6Minneapolis, MN 55454-1450Phone: (612) 624-4477
Registry dates
- Enumerated
- 2019-05-15
- Last updated
- 2022-07-07
- Certified
- 2022-05-24
Frequently asked questions
- What is Mary Park's NPI number?
- Mary Park's National Provider Identifier (NPI) is 1891351862, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Park's specialty?
- Mary Park is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Mary Park located?
- Mary Park's practice location on file with NPPES is 290 Main St Nw, Elk River, MN 55330-1270.
- What is Mary Park's phone number?
- The practice phone number listed in the NPPES registry for Mary Park is (855) 324-7843.
- Does Mary Park accept Medicare?
- Mary Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Park's NPI active?
- Yes — Mary Park's NPI (1891351862) is active in the NPPES registry as of the last update on 2022-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.