Individual provider Active NPI

Jennifer A Marnik-Scalici, DO

  • Obstetrics Physician
  • Centralia, WA
National Provider Identifier
1760521579
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
OP00002252 Issued in WA
Practice address
1000 S Scheuber Rd
PMG SW Wa Centralia Women Center
Centralia, WA 98531-8877
Phone
(360) 330-8950
Fax
(360) 330-8955
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 02008733A IN
Obstetrics Physician 207VX0000X OP00002252 WA Primary

Addresses

Primary practice location

1000 S Scheuber Rd
PMG SW Wa Centralia Women Center
Centralia, WA 98531-8877

Mailing address

PO Box 3360
Portland, OR 97208-3360
Phone (360) 486-6508

Other practice location 1

4199 Gateway Blvd
Newburgh, IN 47630-8940
Phone (812) 842-4200

Other identifiers 1

IdentifierTypeStateIssuer
8500928MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmarnikscalici92768@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, IN2 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
I20080109000083 WA Practitioner - Obstetrics/Gynecology 9234219890 Reassigns benefits to 1 organization
I20251209001088 IN Practitioner - Obstetrics/Gynecology 9234219890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 S Scheuber Rd
Centralia, WA 98531-8877
Phone (360) 330-8950

525 Lilly Rd NE
Olympia, WA 98506-5101

914 S Scheuber Rd
Centralia, WA 98531-9027
Phone (360) 736-2803

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02008733AINMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Women'S Hospital of Southern Indiana, LLC Obstetrics & Gynecology CurrentSince Dec 1, 2025 Accepting new patients
Deaconess Women'S Hospital of Southern Indiana, LLC Obstetrics & Gynecology Current Accepting new patients
Deaconess Women'S Hospital of Southern Indiana, LLC Obstetrics & Gynecology CurrentSince Dec 1, 2025 Accepting new patients
Providence Health & Services Washington Past Accepting new patients

Locations

4199 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-4200

Organizations & group practices 5

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 1

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1760521579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083360",
            "telephone_number": "360-486-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S SCHEUBER RD",
            "address_2": "PMG SW WA CENTRALIA WOMEN CENTER",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985318877",
            "telephone_number": "360-330-8950",
            "fax_number": "360-330-8955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4199 Gateway Blvd",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476308940",
            "country_code": "US",
            "telephone_number": "812-842-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARNIK-SCALICI",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "02008733A",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "WA",
            "license": "OP00002252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8500928",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmarnikscalici92768@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 S Scheuber Rd",
            "address_2": "PMG SW WA Centralia Women Center",
            "city": "Centralia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985318877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

Verify at the official NPI Registry.