Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Peter S Park , FNP

Nurse Practitioner β€’ Grandview, WA

Active NPI 1154937241 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1003 Wallace Way
Grandview, WA 989308805

Call 5097862222 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1003 Wallace Way

Grandview, WA 989308805

Telephone 5097862222
Organization at the Same NPPES Address or Phone
Prosser Public Hospital District Of Benton County Facility NPI 1376026237

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Prosser Public Hospital District Of Benton County. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2020

30-day fills

1,204 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$67,227 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $370.17 across 17 records.

By nature of payment

  • Food and Beverage: $370.17 across 17 records.

Reporting-company totals (3 largest of 7)

  • ABBVIE INC.: $149.37 across 6 records.
  • AstraZeneca Pharmaceuticals LP: $95.30 across 5 records.
  • Bayer Healthcare Pharmaceuticals Inc.: $34.88 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Peter Park has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Peter Park as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Grandview and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 65% of clinicians listed under Nurse Practitioner in Washington (2024, 1,099 clinicians with data). Median for this group: 277. Middle half: 74 to 877.

Too few clinicians listed under Nurse Practitioner in Grandview have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 65% of clinicians listed under Nurse Practitioner in Washington (2024, 1,099 clinicians with data). Median for this group: $11,694. Middle half: $1,114 to $110,470.

Too few clinicians listed under Nurse Practitioner in Grandview have Medicare Part D data for 2024 to compare.

2 active clinicians are listed under Nurse Practitioner with a practice address in Grandview, WA (2,310 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 17 records totaling $370.17.

Manufacturer Payment Nature Product Type Amount ($)
ABBVIE INC.
Food and Beverage
In-kind items and services
QULIPTA General $30.84
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
FARXIGA General $28.42
Daiichi Sankyo Inc.
Food and Beverage
In-kind items and services
INJECTAFER General $28.03
ABBVIE INC.
Food and Beverage
In-kind items and services
QULIPTA General $26.89
ABBVIE INC.
Food and Beverage
In-kind items and services
UBRELVY General $25.77
ABBVIE INC.
Food and Beverage
In-kind items and services
UBRELVY General $25.00
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
AIRSUPRA General $24.53
ABBVIE INC.
Food and Beverage
In-kind items and services
QULIPTA General $23.40
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $22.50
Viatris Specialty LLC
Food and Beverage
In-kind items and services
YUPELRI General $20.70
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
TRINTELLIX General $19.39
Bayer Healthcare Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Kerendia General $18.56
ABBVIE INC.
Food and Beverage
In-kind items and services
UBRELVY General $17.47
Bayer Healthcare Pharmaceuticals Inc.
Food and Beverage
In-kind items and services
Kerendia General $16.32
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
β€” General $14.47
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
β€” General $14.05
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
β€” General $13.83

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 100 7,820 $926.36 36
Losartan Potassium Losartan Potassium 85 4,962 $452.29 20
Lisinopril Lisinopril 47 3,366 $181.08 19
Metformin Hcl Er Metformin Hcl 28 1,800 $148.75 β€”
Levothyroxine Sodium Levothyroxine Sodium 24 1,828 $91.17 β€”
Metoprolol Succinate Metoprolol Succinate 24 1,058 $238.64 β€”
Albuterol Sulfate Hfa Albuterol Sulfate 24 844 $729.48 β€”
Simvastatin Simvastatin 23 1,770 $112.32 β€”
Omeprazole Omeprazole 20 944 $252.82 β€”
Tamsulosin Hcl Tamsulosin Hcl 19 1,650 $196.67 β€”
Farxiga Dapagliflozin Propanediol 19 1,330 $25,671.51 β€”
Metformin Hcl Metformin Hcl 17 1,360 $76.09 β€”
Venlafaxine Hcl Er Venlafaxine Hcl 16 720 $195.11 β€”
Pioglitazone Hcl Pioglitazone Hcl 15 910 $92.06 β€”
Metoprolol Tartrate Metoprolol Tartrate 13 1,020 $61.10 β€”
Hydrochlorothiazide Hydrochlorothiazide 13 880 $25.70 β€”
Rosuvastatin Calcium Rosuvastatin Calcium 13 1,170 $77.59 β€”
Ozempic Semaglutide 13 364 $11,949.67 β€”
Isosorbide Mononitrate Er Isosorbide Mononitrate 12 360 $42.53 β€”
Clopidogrel Clopidogrel Bisulfate 12 360 $48.36 β€”
Eliquis Apixaban 12 967 $19,465.74 β€”
Invokana Canagliflozin 11 330 $6,192.45 β€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-06-02
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES WA AP61125867

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20210212002122

Enrollment State Jurisdiction

WA

PECOS Control ID

5890100440

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Prosser Public Hospital District Of Benton County

336 Chardonnay Ave, Prosser, WA 993509515

Prosser Public Hospital District Of Benton County

200 Prosser Health Dr, Prosser, WA 993507832

Phone: 5097886022

Prosser Public Hospital District Of Benton County

723 Memorial St, Prosser, WA 993501593

Prosser Public Hospital District Of Benton County

820 Memorial St, Prosser, WA 993502504

Phone: 50978655995599

Prosser Public Hospital District Of Benton County

723 Memorial St, Prosser, WA 993501524

Phone: 50978655995599

Prosser Public Hospital District Of Benton County

1003 Wallace Way, Grandview, WA 989308805

Phone: 5092031080

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

9 listed
Karan Bhatti

Internal Medicine - Cardiovascular Disease

NPI 1619222627
Dr. Peter Culp , PT, DPT

Physical Therapist

NPI 1225663255

Physical Therapist, Doctor of Physical Therapy

NPI 1962455535

Doctor of Medicine (M.D.)

NPI 1821792003

Doctor of Medicine (M.D.)

Kevin Gurney , CRNA

Nurse Anesthetist, Certified Registered

NPI 1104037696

Certified Registered Nurse Anesthetist

Dr. Geoffrey Higgs , MD

Orthopaedic Surgery - Sports Medicine

NPI 1548236748

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2021

Student in an Organized Health Care Education/Training Program

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2021

Nurse Practitioner (license number reported to NPPES: WA AP61125867)

πŸ“
Updated Practice Location November 28, 2020

Registered at 1003 WALLACE WAY, GRANDVIEW, WA 989308805 (Tel: 5097862222)

πŸ“
Updated Business Mailing Address November 28, 2020

Registered at 1003 WALLACE WAY, GRANDVIEW, WA 989308805 (Tel: 5092031080)

βœ…
NPI Profile Active September 23, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 23, 2020

Registered at 820 MEMORIAL ST STE 1, PROSSER, WA 993502504 (Tel: 5097862010)

πŸ“
Business Mailing Address (Initial Record) September 23, 2020

Registered at 820 MEMORIAL ST STE 1, PROSSER, WA 993502504 (Tel: 5097862010)

πŸ‘€
Provider Name / Credentials (Initial Record) September 23, 2020

Recorded as PETER PARK, FNP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2020

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration September 23, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1154937241
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2020
Last Update: June 02, 2021
Sole Proprietor: No

Mailing Address

1003 Wallace Way

Grandview, WA 989308805

Phone: 5092031080

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.