Active NPI
David P. Peasak II, MSN, NP
- Nurse Practitioner
- Morgantown, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 54117
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001722042 | Other | WA | BCBS |
| P00287918 | Other | WV | RAILROAD MEDICARE |
| 7103213000 | Medicaid | WV | |
| WV54117 | Other | WV | THP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
- Davis Medical Center
- Mon Health Medical Center
- Mon Health Marion
- Stonewall Jackson Memorial Hospital Company
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.27 of 100
- 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.
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54117 | WV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preston Memorial Hospital Corporation | Current | Accepting new patients | |
| Richbend Emergency Physicians, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Ohio Valley Physicians Inc | Current | Accepting new patients | |
| Beckley Emergency Physicians LLC | Nurse Practitioner | Current | Accepting new patients |
| Mon Health Marion Neighborhood Hospital, Inc. | Current | Accepting new patients | |
| Monongalia County General Hospital Company | Current | Accepting new patients | |
| Stonewall Jackson Memorial Hospital Company | Current | Accepting new patients | |
| Davis Memorial Hospital | Current | Accepting new patients | |
| Davis Memorial Hospital | Current | Accepting new patients | |
| Preston Memorial Hospital Corporation | Current | Accepting new patients | |
| Bridgeport Express Care Inc | Current | Accepting new patients | |
| Stonewall Jackson Memorial Hospital Company | Current | Accepting new patients | |
| I Path LLC | Current | Accepting new patients | |
| Ohio Valley Physicians Inc | Nurse Practitioner | Current | Accepting new patients |
| Bestpractices of West Virginia, Inc. | Past | Accepting new patients | |
| Mon Health Marion Neighborhood Hospital, Inc. | Past | Accepting new patients | |
| Greenbrier Emergency Services, Inc. | Nurse Practitioner | Past | Accepting new patients |
| Jackson Urgent Care | Past | 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
- 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.
-
- General Practice Physician
- Bridgeport, WV
- NPI 1912142001
-
- Multi-Specialty Clinic/Center
- Gallipolis, OH
- NPI 1508817248
-
- Emergency Medicine Physician
- Beckley, WV
- NPI 1376757674
Nurse Practitioner
-
dba Davis Medical Center
- General Acute Care Hospital
- Elkins, WV
- NPI 1619964806
-
dba Mon Health Marion
- Hospitalist Physician
- White Hall, WV
- NPI 1417521337
-
dba Mon Health Medical Center
- Specialist
- Morgantown, WV
- NPI 1447673223
-
dba Access Care
- Family Medicine Physician
- Huntington, WV
- NPI 1962433177
Nurse Practitioner, OH
-
- Critical Access Hospital
- Kingwood, WV
- NPI 1013950054
-
- Emergency Medicine Physician
- Kingwood, WV
- NPI 1841230661
-
- Emergency Medicine Physician
- Elkins, WV
- NPI 1093438830
Nurse Practitioner
-
- Rural Acute Care Hospital
- Weston, WV
- NPI 1477559433
-
dba Health Center Pharmacy
- Community/Retail Pharmacy
- Elkins, WV
- NPI 1700663226
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Davis Medical Center
- General Acute Care Hospital
- Elkins, WV
- NPI 1619964806
-
dba Mon Health Marion
- General Acute Care Hospital
- White Hall, WV
- NPI 1508441304
-
dba Mon Health Medical Center
- Specialist
- Morgantown, WV
- NPI 1447673223
Hospital
-
dba Mon Health Medical Center
- General Acute Care Hospital
- Morgantown, WV
- NPI 1659489631
-
- Rural Acute Care Hospital
- Weston, WV
- NPI 1477559433
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.