Sue Jin Park, RN
NPI 1952813826ActiveIndividual· Registered Nurse, General Practice· Bishop, CA
Registered Nurse, General Practice (RN) in Bishop, California, licensed in CA, with an NPI issued in October 2017. Part D covered 333 prescriptions written in 2024, 99% of them generic.
Overview
| NPI | 1952813826 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN |
| Sole proprietor | No |
| NPI issued | Oct 31, 2017 |
| Last updated in NPPES | Jan 27, 2022 |
| Certified by provider | Jan 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse, General Practice Primary | 163WG0000X | 840776 | CA |
| Nurse Practitioner, Family | 363LF0000X | 95005086 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 333 · 513 30-day fills |
|---|---|
| Patients | 38 |
| Total drug cost | $3,785 |
| Generic share | 99% 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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