Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Hannah Gray Park

Individual provider Physician Assistant · NPI 1013891738

Hannah Gray Park is a Physician Assistant in Cooperstown, New York. Qualified in 2025, 1 year ago. Practices with Mary Imogene Bassett Hospital, a 779-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone: (607) 547-3456
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1013891738
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 5, 2025
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mary Imogene Bassett Hospital — 779 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at Mary Imogene Bassett Hospital

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 779 clinicians in the practice; 12 are shown here.

Other providers in Cooperstown