Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Annie Kay Park, ARNPFNP-C

Individual provider Low-Risk Neonatal Registered Nurse · NPI 1659065290

Annie Kay Park, ARNPFNP-C is a Nurse Practitioner in Ellensburg, Washington. Qualified in 2023, 3 years ago. Practices with Kittitas County Public Hospital Dist 1, a 81-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
3
Licensed in
WA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

100 W 3rd Ave
Ellensburg, WA 98926-3354
Phone: (509) 388-2345
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP61483923 (WA)
Low-Risk Neonatal Registered Nurse Taxonomy 163WN0003X · Licence RN000150149 (WA)

Record details

NPI number1659065290
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNPFNP-C
Sole proprietorNo
NPI enumeratedJune 6, 2023
Last updated in NPPESOctober 16, 2023
Certification dateJune 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Kittitas County Public Hospital Dist 1 — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount