NPPES file of Aug 9, 2026

Mallory Lynn Park, MSN, CRNP, FNP-C

General Practice Physician · Ridgway, PA

Mallory Lynn Park, MSN, CRNP, FNP-C is a general practice physician with a practice address in Ridgway, Pennsylvania, and NPI 1114755345, issued on Jul 22, 2024. Check the license (Pennsylvania SP030067, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1114755345
Name
Mallory Lynn Park
Credential
MSN, CRNP, FNP-C
Primary taxonomy
General Practice Physician 208D00000X
License number
SP030067 PA
Self-reported in NPPES; status is on the state search
Practice location
250 W Main St, Ridgway, PA 15853
Phone
(814) 772-8122
Enumerated
Jul 22, 2024
Record last updated
Jul 22, 2024
Medicare enrollment
Enrolled (PECOS I20241115004072); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Mallory Lynn Park in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license SP030067
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Pennsylvania license search

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98% fewer Medicare Part D claims than the average general practice physician in 2024

63 Medicare Part D claims for 43 beneficiaries, against an average of 3,030 among the 8,395 providers of this specialty who prescribed in Part D.

  1. Mallory Park63
  2. Specialty average3,030

Most prescribed

  1. Doxycycline Hyclate14 claims
  2. Methylprednisolone13 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $32.88

2 payments; by number, the most common kind was food and beverage; the largest payer was Lilly USA, LLC. The 4,259 providers of this specialty with any payment received $1,273.40 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Mallory Park$32.88
  2. Specialty average$1,273.40

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Dubois Regional Medical CenterRidgway, PA
  2. Wellnow Urgent Care, P.C.Saint Marys, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Mallory Lynn Park among 345 general practice physician records in Pennsylvania

Mallory Lynn Park, MSN, CRNP, FNP-C is one of 345 general practice physician records with a practice address in Pennsylvania. 45% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 95% of them.

  • NPI issued2024 · 95% of these records are older, 3% newer
  • In a Medicare fileYes · 45% of these records are
  • In the CMS Doctors and Clinicians fileYes · 20% of these records are
  • Graduated2023 · median 1999 among the 70 with a school on file
  • Record last updated2024 · 67% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208D00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

1 general practice physician record lists a practice address in Ridgway

They are 1 of the 72 NPPES records with a practice address in Ridgway, and 345 general practice physician records in Pennsylvania.

The 8 general practice physician records with the nearest ZIP codes

  1. Joseph Yeager, D.O.Johnstown, PA 159041144887266
  2. Henry Delatorre, M.D.Du Bois, PA 158011356355218
  3. Andres OnettoJohnstown, PA 159051467026682
  4. Matthew Perry, DOJohnstown, PA 159051669670675
  5. Brittney Shook, DOJohnstown, PA 159051073713350
  6. Mieka Shuman, DOJohnstown, PA 159051982198537
  7. Junhui Song, MDJohnstown, PA 159051821377003
  8. Richard Voytko, M.D.Johnstown, PA 159051720317415

Common questions

What is Mallory Lynn Park, MSN, CRNP, FNP-C's NPI number?

Mallory Lynn Park, MSN, CRNP, FNP-C's National Provider Identifier (NPI) is 1114755345, issued on Jul 22, 2024. An NPI identifies a provider in billing; it is not a license.

Where is Mallory Lynn Park, MSN, CRNP, FNP-C located?

The NPPES record lists a practice address at 250 W Main St, Ridgway, PA, 15853. Phone: (814) 772-8122. Providers update this record themselves, so call before visiting.

How can I verify Mallory Lynn Park, MSN, CRNP, FNP-C's license?

NPPES lists Pennsylvania license number SP030067, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Mallory Lynn Park, MSN, CRNP, FNP-C prescribe under Medicare Part D?

In 2024, Mallory Lynn Park, MSN, CRNP, FNP-C had 63 Medicare Part D claims for 43 beneficiaries; the average among general practice physician prescribers was 3,030. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.