Individual provider Active NPI

Marina Esther Polanco de Gomez

  • Family Medicine Physician
  • York, PA
National Provider Identifier
1255128849
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
SP032756 Issued in PA
Practice address
55 Monument Rd
York, PA 17403-5023
Phone
(717) 812-6100
NPI assigned
Apr 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SP032756 PA Primary

Addresses

Primary practice location

55 Monument Rd
York, PA 17403-5023

Mailing address

741 Haines Rd
York, PA 17402-3507
Phone (347) 520-6866

Other practice location 1

2145 Noll Dr
Lancaster, PA 17603-7600
Phone (717) 397-4921

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251005000285 PA Practitioner - Nurse Practitioner 6002312378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

2145 Noll Dr
Mastropietro and Associates Family Medicine
Lancaster, PA 17603-7600
Phone (717) 397-4921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP032756PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Family Medicine Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 1, 2025 Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 1, 2025 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2145 Noll Dr
Lancaster, PA 17603
Phone (717) 207-4800

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.

NPI Registry JSON

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1255128849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 HAINES RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174023507",
            "telephone_number": "347-520-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MONUMENT RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174035023",
            "telephone_number": "717-812-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2145 Noll Dr",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176037600",
            "country_code": "US",
            "telephone_number": "717-397-4921",
            "fax_number": "717-397-7170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLANCO DE GOMEZ",
        "first_name": "MARINA",
        "middle_name": "ESTHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP032756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.