Individual provider Active NPI

Breana Marine, DPM

  • Podiatrist
  • York, PA
National Provider Identifier
1194304881
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC007438 Issued in PA
Practice address
2300 Pleasant Valley Rd
York, PA 17402-9627
Phone
(717) 757-3537
NPI assigned
Apr 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC007438 PA Primary

Addresses

Primary practice location

2300 Pleasant Valley Rd
York, PA 17402-9627

Mailing address

2300 Pleasant Valley Rd
York, PA 17402-9627
Phone (717) 757-3537

Other practice location 1

207 Blooming Grove Rd
Hanover, PA 17331-7917
Phone (717) 757-3537

Other practice location 2

35 Erick Rd
Lancaster, PA 17601-3111
Phone (717) 757-3537

Other practice location 3

1042 Lititz Pike
Lititz, PA 17543-9328
Phone (717) 757-3537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240710004758 PA Practitioner - Podiatry 5294130449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

2300 Pleasant Valley Rd
York, PA 17402-9627
Phone (717) 757-3537

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue126
Removal of skin lesions70
Removal of nail tissue319
Removal or shaving of skin growth43
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC007438PAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Aug 4, 2025 Accepting new patients
Wellspan Medical Group CurrentSince Aug 4, 2025 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

207 Blooming Grove Rd
Hanover, PA 17331
Phone (717) 637-6356

35 Erick Rd
Lancaster, PA 17601
Phone (717) 690-0785

1042 Lititz Pike
Lititz, PA 17543

2300 Pleasant Valley Rd
York, PA 17402
Phone (717) 812-5121

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

2300 Pleasant Valley Rd
Bldg 3
York, PA 17402
Phone (717) 332-7990

Interoperability endpoints

  • Direct secure messaging: bmarine438121@wellspan.direct-ci.com

Organizations & group practices 4

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 7

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": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1194304881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 PLEASANT VALLEY RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029627",
            "telephone_number": "717-757-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 PLEASANT VALLEY RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029627",
            "telephone_number": "717-757-3537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 Blooming Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173317917",
            "country_code": "US",
            "telephone_number": "717-757-3537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Erick Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176013111",
            "country_code": "US",
            "telephone_number": "717-757-3537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1042 Lititz Pike",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175439328",
            "country_code": "US",
            "telephone_number": "717-757-3537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARINE",
        "first_name": "BREANA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC007438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.