Ms Minji Park, DNP, NP-C - Medicare Nurse Practitioner in Salt Lake City, UT

Ms Minji Park, DNP, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Salt Lake City, Utah. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice University Of Utah Adult Services, University Of Utah Adult Services and her current practice location is 50 N Medical Dr, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 585-7676.

Ms Minji Park is licensed to practice in Utah (license number 65714894405) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265831390.

Contact Information

Ms Minji Park, DNP, NP-C
50 N Medical Dr,
Salt Lake City, UT 84132-0001
(801) 585-7676
Not Available

Map and Direction




Provider's Profile

Full NameMs Minji Park
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location50 N Medical Dr, Salt Lake City, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Minji Park graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1265831390
  • Provider Enumeration Date: 08/14/2014
  • Last Update Date: 11/10/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1456673177
  • Enrollment ID: I20141209001318

Medical Identifiers

Medical identifiers for Ms Minji Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265831390NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 65714894405 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Utah Hospitals And ClinicsSalt lake city, UTHospital
Evanston Regional HospitalEvanston, WYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Utah Adult Services09415252731459
University Of Utah Adult Services09415252731459

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. Ms Minji Park allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Utah Adult Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114321981
PECOS PAC ID: 0941525273
Enrollment ID: O20150209001683

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. Ms Minji 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
Ms Minji Park, DNP, NP-C
Po Box 413033,
Salt Lake City, UT 84141-3033

Ph: (801) 213-3900
Ms Minji Park, DNP, NP-C
50 N Medical Dr,
Salt Lake City, UT 84132-0001

Ph: (801) 585-7676

Reviews and Comments


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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.