Active NPI
Jennifer A Marnik-Scalici, DO
- Obstetrics Physician
- Centralia, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- OP00002252
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8500928 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmarnikscalici92768@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02008733A | IN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | 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 | Current | Accepting new patients |
| Deaconess Women'S Hospital of Southern Indiana, LLC | Obstetrics & Gynecology | Current | 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.
-
dba Providence Medical Group SouthWest Washington
- Family Medicine Physician
- Olympia, WA
- NPI 1174744304
-
dba Anesthesia Services at The Women's Hospital
- Anesthesiology Physician
- Newburgh, IN
- NPI 1245272921
Obstetrics & Gynecology
-
dba The Women's Hospital Provider Services
- Gynecologic Oncology Physician
- Newburgh, IN
- NPI 1114297801
Obstetrics & Gynecology
-
- Non-Surgical Family Planning Clinic/Center
- Evansville, IN
- NPI 1609689561
Obstetrics & Gynecology
-
dba Providence Centralia Hospital
- General Acute Care Hospital
- Centralia, WA
- NPI 1376624981
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Centralia Hospital
- General Acute Care Hospital
- Centralia, WA
- NPI 1376624981
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.