Taylor Rae Park, NP - Nurse Practitioner in Jerseyville, IL

Taylor Rae Park, NP is a Nurse Practitioner - Family based in Jerseyville, Illinois. Taylor Rae Park is licensed to practice in Illinois (license number 209029415) and her current practice location is 903 S State St, Jerseyville, Illinois. She can be reached at her office (for appointments etc.) via phone at (618) 498-2273.

NPI number for Taylor Rae Park is 1780454389 and her current mailing address is 4015 Key Harbour Dr, Lake Saint Louis, Missouri. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780454389.

Contact Information

Taylor Rae Park, NP
903 S State St,
Jerseyville, IL 62052-2344
(618) 498-2273
(618) 639-8100

Map and Direction




Provider's Profile

Full NameTaylor Rae Park
GenderFemale
SpecialityNurse Practitioner - Family
Location903 S State St, Jerseyville, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780454389
  • Provider Enumeration Date: 01/04/2024
  • Last Update Date: 03/21/2024

Medical Identifiers

Medical identifiers for Taylor Rae Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780454389NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 2016023237 (Missouri)Secondary
363LP2300XNurse Practitioner - Primary Care 2023037394 (Missouri)Secondary
363LF0000XNurse Practitioner - Family 209029415 (Illinois)Primary

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. Taylor Rae Park is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Taylor Rae Park, NP
4015 Key Harbour Dr,
Lake Saint Louis, MO 63367-3001

Ph: (636) 357-8982
Taylor Rae Park, NP
903 S State St,
Jerseyville, IL 62052-2344

Ph: (618) 498-2273

Reviews and Comments


Nurse Practitioner Nurses in Jerseyville, IL

Melissa G Kulp, MS, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 220 E County Rd, E Annex, Jerseyville, IL 62052
Phone: 618-498-8467    Fax: 618-639-2017
Ms. Ellen Edith Mouser, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 270 Maple Summit Rd, Jerseyville, IL 62052
Phone: 618-639-9952    Fax: 618-639-9955
Mrs. Deborah Marie Seymour, APN-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 390 Maple Summit Rd, Jerseyville, IL 62052
Phone: 618-498-2101    Fax: 618-498-8153
Tammie L Blevins, ANP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 270 Maple Summit Rd, Jerseyville, IL 62052
Phone: 618-498-7108    Fax: 618-498-7919
Alexandra Irene Evans, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 390 Maple Summit Rd, Jerseyville, IL 62052
Phone: 618-498-2101    Fax: 618-498-8153
Amber N. Wright, FNP-BC
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 220 E County Rd, East Annex, Jerseyville, IL 62052
Phone: 618-498-8467    Fax: 618-639-2017
Ms. Beth Ann Dalrymple-woods, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 400 Maple Summit Rd, Jerseyville, IL 62052
Phone: 618-498-8472    Fax: 618-498-8461

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.