Individual provider Active NPI

Bobby Lee Marcum, C-FNP

  • Family Nurse Practitioner
  • Huntington, WV
National Provider Identifier
1013069046
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
47550 Issued in WV
Practice address
1340 Hal Greer Boulevard
Attn: Tammie Silva
Huntington, WV 25701-3800
Phone
(304) 526-2200
Fax
(304) 526-2139
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 47550 WV Primary

Addresses

Primary practice location

1340 Hal Greer Boulevard
Attn: Tammie Silva
Huntington, WV 25701-3800

Mailing address

1340 Hal Greer Boulevard
Attn: Tammie Silva
Huntington, WV 25701-3800
Phone (304) 526-2200

Other identifiers 4

IdentifierTypeStateIssuer
7100115990MedicaidKY
3046877MedicaidOH
P00836672OtherWVRR MEDICARE
7103206000MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bobby.marcum@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100317000786 WV Practitioner - Nurse Practitioner 4789719600 Reassigns benefits to 1 organization
I20200206001147 KY Practitioner - Nurse Practitioner 4789719600 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physicians and Surgeons, IncGroup PAC ID 2961315734, 379 clinicians
Kings Daughters Medical Specialties IncGroup PAC ID 6103968029, 397 clinicians
Premier Therapy and Health Centers IncGroup PAC ID 7416859574, shared by 6 NPIs, 263 clinicians

Practice addresses (Care Compare)

1600 Medical Ctr Dr
Suite G500
Huntington, WV 25701-3659
Phone (304) 691-1262

613 23Rd St
Suite 350
Ashland, KY 41101-2879
Phone (606) 327-0036

613 23Rd St
Suite G30
Ashland, KY 41101-2881
Phone (606) 327-0036

710 N Carol Malone Boulevard
Grayson, KY 41143-1126
Phone (606) 474-0157

7700 Ohio River Rd
Wheelersburg, OH 45694-1653
Phone (740) 574-4616

Hospital & facility affiliations

  • Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055
  • King'S Daughters' Medical Center Hospital, Ashland, KY, CCN 180009
  • St Marys Medical Center Hospital, Huntington, WV, CCN 510007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Feb 1, 2022 Accepting new patients
Kings Daughters Medical Specialties Inc Family CurrentSince Feb 1, 2022 Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Jul 1, 2014 Accepting new patients
University Physicians & Surgeons, Inc Family CurrentSince Jul 1, 2014 Accepting new patients
Our Lady of Bellefonte Hospital, Inc. Family Past Accepting new patients
Kings Daughters Medical Specialties Inc Past Accepting new patients

Locations

613 23rd St
Ste 350
Ashland, KY 41101
Phone (606) 327-0036

613 23rd St
Ste G30
Ashland, KY 41101
Phone (606) 327-0036

1000 Saint Christopher Dr
Ashland, KY 41101
Phone (606) 833-2273

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

1249 15th St
Ste 4093
Huntington, WV 25701
Phone (304) 691-8714

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

2900 1st Ave
Huntington, WV 25702
Phone (304) 526-1111

1400 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-6610

1600 Medical Center Dr
Ste G500
Huntington, WV 25701
Phone (304) 691-1262

1400 Hal Greer Blvd
Ste 2000
Huntington, WV 25701

1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960

3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1013069046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 HAL GREER BOULEVARD",
            "address_2": "ATTN: TAMMIE SILVA",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013800",
            "telephone_number": "304-526-2200",
            "fax_number": "304-526-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 HAL GREER BOULEVARD",
            "address_2": "ATTN: TAMMIE SILVA",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013800",
            "telephone_number": "304-526-2200",
            "fax_number": "304-526-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUM",
        "first_name": "BOBBY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "C-FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "47550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100115990",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3046877",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00836672",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7103206000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bobby.marcum@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1600 Medical Center Dr Ste 3500",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.