Emilie Minarcik, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

106888 Issued in WV

Practice address

1000 Mon Health Medical Park Dr Ste 1104
Morgantown, WV 26505-1143

Phone

(304) 598-7296

Fax

(304) 598-7297

NPI assigned

Nov 18, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Ms. Emilie S. Fagin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1962808949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MON HEALTH MEDICAL PARK DR STE 1104",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051143",
            "telephone_number": "304-598-7296",
            "fax_number": "304-598-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MON HEALTH MEDICAL PARK DR STE 1104",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265051143",
            "telephone_number": "304-598-7296",
            "fax_number": "304-598-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINARCIK",
        "first_name": "EMILIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2023-03-07",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "1638693",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP014335",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "992330",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WV",
            "license": "106888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILIE",
            "last_name": "FAGIN",
            "middle_name": "S.",
            "prefix": "MS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stuart Mills, DMD
• Kayla B Milnes, PA-C
• Lydia Milnes
• Edward Miltenberger, M.D.
• Marcedes Ann Minana
• Joseph J Minardi, M.D.
• Kelly Nicole Minardo
• Samantha Danielle Minc, M.D.
• Elizabeth A Minchau, CFNP
• Jeffrey Gary Minchau, DDS,MS

• Gerontology Nurse Practitioner in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Gerontology Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.