Individual provider Active NPI

Julie Petersen Marcinek, DO

  • Family Medicine Physician
  • Summersville, WV
National Provider Identifier
1649513367
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3508 Issued in WV
Practice address
702 Professional Park Dr Ste 104
Summersville, WV 26651-2033
Phone
(304) 872-0089
NPI assigned
Apr 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34012862 OH
Family Medicine Physician 207Q00000X 3508 WV Primary
Family Medicine Physician 207Q00000X H0081197 MD
Family Medicine Physician 207Q00000X DO034562 DC

Addresses

Primary practice location

702 Professional Park Dr Ste 104
Summersville, WV 26651-2033

Mailing address

702 Professional Park
Suite 104
Summersville, WV 26651
Phone (304) 872-0089

Other practice location 1

70 Technology Ln
Cowen, WV 26206-3702
Phone (304) 226-3150

Other practice location 2

125 Diana Dr
Webster Springs, WV 26288-9078
Phone (304) 847-5682

Other practice location 3

150 Courthouse Rd Ste 301B
Princeton, WV 24740-2450
Phone (304) 425-0162

Other practice location 4

119 Main St W Ste A
Oak Hill, WV 25901-2972
Phone (304) 465-0544

Other practice location 5

111 S Grant Ave
Columbus, OH 43215-4701
Phone (614) 566-8883

Other practice location 6

207 W Maple Ave
Fayetteville, WV 25840-1413
Phone (304) 574-2600

Other practice location 7

230 George St Ste 2
Beckley, WV 25801-2620
Phone (304) 255-2878

Other identifiers 1

IdentifierTypeStateIssuer
H596080OtherOHMEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address julie.marcinek@camc.cernerdirect.com Health Information Exchange (HIE)
Direct Messaging Address julie.marcinek@camc.cernerdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170824002131 OH Practitioner - Family Practice 2365730082 Reassigns benefits to 1 organization
I20250515000556 WV Practitioner - Family Practice 2365730082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charleston Area Medical Center IncGroup PAC ID 3375441637, 969 clinicians

Practice addresses (Care Compare)

150 Courthouse Rd
Suite 301B
Princeton, WV 24740-2450
Phone (304) 425-0162

Hospital & facility affiliations

  • Camc Plateau Medical Center, Inc Hospital, Oak Hill, WV, CCN 511317
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO034562DCMDFamily Medicine Physician
H0081197MDMDFamily Medicine Physician
3508WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Sep 24, 2017 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Apr 14, 2025 Accepting new patients
Ohiohealth Corporation Family Medicine CurrentSince Sep 24, 2017 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Apr 14, 2025 Accepting new patients
Ohiohealth Corporation Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

Dept L3652
Columbus, OH 43260

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

230 George St
Ste 2
Beckley, WV 25801
Phone (304) 255-2878

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762

207 W Maple Ave
Fayetteville, WV 25840
Phone (304) 574-0120

119 Main St W
Ste A
Oak Hill, WV 25901
Phone (304) 465-0544

430 Main St W
Oak Hill, WV 25901
Phone (276) 325-0678

150 Courthouse Rd
Ste 301B
Princeton, WV 24740
Phone (304) 425-0162

702 Professional Park Dr
Ste 104
Summersville, WV 26651
Phone (304) 872-0035

Interoperability endpoints

  • Direct secure messaging: julie.marcinek@camc.cernerdirect.com

Organizations & group practices 8

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 12

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": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1649513367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 PROFESSIONAL PARK",
            "address_2": "SUITE 104",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "26651",
            "telephone_number": "304-872-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 PROFESSIONAL PARK DR STE 104",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266512033",
            "telephone_number": "304-872-0089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Technology Ln",
            "address_purpose": "LOCATION",
            "city": "Cowen",
            "state": "WV",
            "postal_code": "262063702",
            "country_code": "US",
            "telephone_number": "304-226-3150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Diana Dr",
            "address_purpose": "LOCATION",
            "city": "Webster Springs",
            "state": "WV",
            "postal_code": "262889078",
            "country_code": "US",
            "telephone_number": "304-847-5682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Courthouse Rd Ste 301B",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "WV",
            "postal_code": "247402450",
            "country_code": "US",
            "telephone_number": "304-425-0162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Main St W Ste A",
            "address_purpose": "LOCATION",
            "city": "Oak Hill",
            "state": "WV",
            "postal_code": "259012972",
            "country_code": "US",
            "telephone_number": "304-465-0544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 S Grant Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432154701",
            "country_code": "US",
            "telephone_number": "614-566-8883",
            "fax_number": "614-566-8149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 W Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "WV",
            "postal_code": "258401413",
            "country_code": "US",
            "telephone_number": "304-574-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 George St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258012620",
            "country_code": "US",
            "telephone_number": "304-255-2878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCINEK",
        "first_name": "JULIE",
        "middle_name": "PETERSEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34012862",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "3508",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0081197",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "DO034562",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "H596080",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julie.marcinek@camc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "702 Professional Park Dr Ste 104",
            "city": "Summersville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "266512033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julie.marcinek@camc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "119 Main St W Ste A",
            "city": "Oak Hill",
            "state": "WV",
            "country_code": "US",
            "postal_code": "259012972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Summersville, WV

Sources for this page

Verify at the official NPI Registry.