Individual provider Active NPI

David P. Peasak II, MSN, NP

  • Nurse Practitioner
  • Morgantown, WV
National Provider Identifier
1316987001
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
54117 Issued in WV
Practice address
1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone
(304) 598-1200
Fax
(304) 598-1699
NPI assigned
Jun 8, 2006
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 54117 WV Primary

Addresses

Primary practice location

1200 J D Anderson Dr
Morgantown, WV 26505-3494

Mailing address

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200

Other practice location 1

812 Gorman Ave
Elkins, WV 26241-3181
Phone (304) 636-3300

Other practice location 2

230 Hospital Plz
Weston, WV 26452-8558
Phone (304) 269-8000

Other practice location 3

6 Hospital Plz
Clarksburg, WV 26301-9316
Phone (304) 623-5661 ext. 270

Other practice location 4

140 Middletown Loop
Fairmont, WV 26554-8701
Phone (304) 333-1150

Other practice location 5

150 Memorial Dr
Kingwood, WV 26537-1141
Phone (304) 329-1400

Other practice location 6

770 Haden Blvd
Bridgeport, WV 26330-6232
Phone (304) 848-2220

Other identifiers 4

IdentifierTypeStateIssuer
001722042OtherWABCBS
P00287918OtherWVRAILROAD MEDICARE
7103213000MedicaidWV
WV54117OtherWVTHP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 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
I20040503001023 WV Practitioner - Nurse Practitioner 9335137074 Reassigns benefits to 9 organizations
I20170105000032 OH Practitioner - Nurse Practitioner 9335137074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holzer Clinic LLCGroup PAC ID 5890606008, 266 clinicians
Bridgeport Express Care IncGroup PAC ID 8325104896, 4 clinicians

Practice addresses (Care Compare)

100 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 446-5050

1370 Johnson Ave
Bridgeport, WV 26330-1492
Phone (304) 842-3330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.27 of 100Reported as group
Quality
68.56
Promoting interoperability
100
Improvement activities
40
Cost
68.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
54117WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Preston Memorial Hospital Corporation CurrentSince May 12, 2025 Accepting new patients
Richbend Emergency Physicians, PLLC Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Apr 1, 2020 Accepting new patients
Beckley Emergency Physicians LLC Nurse Practitioner CurrentSince Sep 6, 2023 Accepting new patients
Mon Health Marion Neighborhood Hospital, Inc. CurrentSince May 12, 2025 Accepting new patients
Monongalia County General Hospital Company CurrentSince May 12, 2025 Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince May 12, 2025 Accepting new patients
Davis Memorial Hospital CurrentSince Apr 28, 2025 Accepting new patients
Davis Memorial Hospital CurrentSince Apr 28, 2025 Accepting new patients
Preston Memorial Hospital Corporation CurrentSince May 12, 2025 Accepting new patients
Bridgeport Express Care Inc CurrentSince Dec 1, 2008 Accepting new patients
Stonewall Jackson Memorial Hospital Company CurrentSince May 12, 2025 Accepting new patients
I Path LLC Current Accepting new patients
Ohio Valley Physicians Inc Nurse Practitioner CurrentSince Apr 1, 2020 Accepting new patients
Bestpractices of West Virginia, Inc. Past Accepting new patients
Mon Health Marion Neighborhood Hospital, Inc. PastSince Apr 25, 2021 Accepting new patients
Greenbrier Emergency Services, Inc. Nurse Practitioner Past Accepting new patients
Jackson Urgent Care PastSince Dec 8, 2011 Accepting new patients

Locations

55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349

1341 Clark St
Cambridge, OH 43725
Phone (614) 439-8900

100 Jackson Pike
Gallipolis, OH 45631
Phone (740) 446-5050

936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600

500 Burlington Rd
Jackson, OH 45640
Phone (740) 288-4625

306 Stanaford Rd
Beckley, WV 25801
Phone (304) 255-3373

1370 Johnson Ave
Bridgeport, WV 26330
Phone (304) 842-3330

1370 Johnson Ave
Fl 1
Bridgeport, WV 26330
Phone (304) 842-3330

812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

230 Hospital Plz
Weston, WV 26452
Phone (304) 269-8000

140 Middletown Loop
White Hall, WV 26554
Phone (304) 333-1150

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/preston-adacdb24

Organizations & group practices 19

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

View all 19

Hospital & facility affiliations 5

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1316987001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 J D ANDERSON DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053494",
            "telephone_number": "304-598-1200",
            "fax_number": "304-598-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 J D ANDERSON DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053494",
            "telephone_number": "304-598-1200",
            "fax_number": "304-598-1699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 Gorman Ave",
            "address_purpose": "LOCATION",
            "city": "Elkins",
            "state": "WV",
            "postal_code": "262413181",
            "country_code": "US",
            "telephone_number": "304-636-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Hospital Plz",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "WV",
            "postal_code": "264528558",
            "country_code": "US",
            "telephone_number": "304-269-8000",
            "fax_number": "304-269-8090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Hospital Plz",
            "address_purpose": "LOCATION",
            "city": "Clarksburg",
            "state": "WV",
            "postal_code": "263019316",
            "country_code": "US",
            "telephone_number": "304-623-5661 x270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Middletown Loop",
            "address_purpose": "LOCATION",
            "city": "Fairmont",
            "state": "WV",
            "postal_code": "265548701",
            "country_code": "US",
            "telephone_number": "304-333-1150",
            "fax_number": "304-333-1169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "WV",
            "postal_code": "265371141",
            "country_code": "US",
            "telephone_number": "304-329-1400",
            "fax_number": "304-329-1175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "770 Haden Blvd",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "WV",
            "postal_code": "263306232",
            "country_code": "US",
            "telephone_number": "304-848-2220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEASAK",
        "first_name": "DAVID",
        "middle_name": "P.",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MSN, NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "54117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001722042",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00287918",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7103213000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THP",
            "identifier": "WV54117",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.