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

Rachael Park

Individual provider Registered Nurse · NPI 1831874445

Rachael Park is a Nurse Practitioner in Traverse City, Michigan. Qualified in 2023, 3 years ago. Practices with Munson Medical Center, a 377-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

1221 Sixth St Ste 300
Traverse City, MI 49684-2360
Phone: (231) 935-2400
Fax: (231) 935-2401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1105 Sixth St, Traverse City, MI 49684-2345 — (231) 935-5000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704319927 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704319927 (MI)

Record details

NPI number1831874445
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 20, 2023
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing address1105 Sixth St, Traverse City, MI 49684-2386

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 Munson Medical Center — 377 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Traverse City