Charlotte Ann Park, FNP - Medicare Nurse Practitioner in Santa Maria, CA

Charlotte Ann Park, FNP is a medicare enrolled "Nurse Practitioner - Family" in Santa Maria, California. Her current practice location is 115 E Fesler St, Santa Maria, California. You can reach out to her office (for appointments etc.) via phone at (805) 922-6597.

Charlotte Ann Park is licensed to practice in California (license number NP95035328) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356023634.

Contact Information

Charlotte Ann Park, FNP
115 E Fesler St,
Santa Maria, CA 93454-4404
(805) 922-6597
Not Available

Map and Direction




Provider's Profile

Full NameCharlotte Ann Park
GenderFemale
SpecialityNurse Practitioner - Family
Location115 E Fesler St, Santa Maria, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356023634
  • Provider Enumeration Date: 08/04/2023
  • Last Update Date: 03/31/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6507212552
  • Enrollment ID: I20231026002595

Medical Identifiers

Medical identifiers for Charlotte Ann Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356023634NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NP95035328 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charlotte Ann Park allows following entities to bill medicare on her behalf.
Entity NameCardiology Associates Of Fredericksburg, Ltd.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487748240
PECOS PAC ID: 8325141609
Enrollment ID: O20070312000343

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charlotte Ann Park is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charlotte Ann Park, FNP
502 Baywood St,
Lompoc, CA 93437-1328

Ph: (801) 960-5488
Charlotte Ann Park, FNP
115 E Fesler St,
Santa Maria, CA 93454-4404

Ph: (805) 922-6597

Reviews and Comments


Nurse Practitioner Nurses in Santa Maria, CA

Richard L John Jr., APRN
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Leslie M Hutton, FNP
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Phone: 805-922-5749    
Ms. Kayla Brooke Menjivar, NP
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Practice Location: 1418 E Main St Ste 210, Santa Maria, CA 93454
Phone: 805-928-3678    
Mrs. Jennifer Diaz, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 210 S Palisade Dr Ste 101, Santa Maria, CA 93454
Phone: 805-922-0481    Fax: 805-925-5261
Pamela Marian Abramowicz, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 124 Carmen Ln Ste A, Santa Maria, CA 93458
Phone: 206-850-8799    Fax: 805-348-1856
Ms. Sandra Mary Loehner, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 415 E Chapel St, Santa Maria, CA 93454
Phone: 805-722-3100    Fax: 805-928-7671
Mr. Justin Mora, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 316 S Stratford Ave Ste B, Santa Maria, CA 93454
Phone: 805-332-8446    Fax: 805-332-8483

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.