Tammera L. Park, P.A.-C
NPI 1598853129ActiveIndividual· Physician Assistant· Crawfordsville, IN
Physician Assistant (P.A.-C) in Crawfordsville, Indiana, licensed in IN and CO, with an NPI issued in October 2006. Mostly services rather than prescriptions: Medicare paid $3,587 for 12 patients in 2024, with only 19 Part D claims.
Overview
| NPI | 1598853129 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A.-C |
| Sole proprietor | No |
| NPI issued | Oct 10, 2006 |
| Last updated in NPPES | Dec 30, 2024 |
| Certified by provider | Dec 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 10004691A | IN |
| Physician Assistant | 363A00000X | 2054 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CO); Practitioner - Physician Assistant (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 37 across 7 procedure codes |
| Paid by Medicare | $3,587 |
Part D prescriptions in 2024
| Prescriptions (claims) | 19 · 35 30-day fills |
|---|---|
| Total drug cost | $2,095 |
| Generic share | 95% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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