Individual provider Active NPI

Maria Yvette Gibson, FNP-BC

  • Family Nurse Practitioner
  • York, PA
National Provider Identifier
1508378498
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP018316 Issued in PA
Practice address
2350 Freedom Way Ste 102
York, PA 17402
Phone
(717) 741-9536
Fax
(717) 741-5509
NPI assigned
Oct 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X RN599469 PA
Adult Health Nurse Practitioner 363LA2200X SP018316 PA
Family Nurse Practitioner 363LF0000X LG0001096 DE
Family Nurse Practitioner 363LF0000X SP018316 PA Primary

Addresses

Primary practice location

2350 Freedom Way Ste 102
York, PA 17402

Mailing address

2350 Freedom Way Ste 102
York, PA 17402-8265
Phone (717) 741-9536

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mgibson102447@phsdirect.pinnaclehealth.org

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
I20181012002489 PA Practitioner - Nurse Practitioner 4981964699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
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)

2350 Freedom Way
102 Upmc Yorktowne Urology
York, PA 17402-8265
Phone (717) 741-9536

Hospital & facility affiliations

  • Wellspan York Hospital Hospital, York, PA, CCN 390046
  • Upmc Memorial Hospital, York, PA, CCN 390101
  • Upmc Hanover Hospital, Hanover, PA, CCN 390233
  • Gettysburg Hospital Hospital, Gettysburg, PA, CCN 390065

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN599469PAMDAmbulatory Care Registered Nurse
LG0001096DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Dec 30, 2022 Accepting new patients
Pinnacle Health Medical Services CurrentSince Dec 30, 2022 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

2350 Freedom Way
Ste 102
York, PA 17402
Phone (717) 741-9536

Interoperability endpoints

  • Direct secure messaging: mgibson536664@upmc.direct-ci.com
  • Direct secure messaging: mgibson@yturology.medentdirect.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 10

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": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1508378498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 FREEDOM WAY STE 102",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174028265",
            "telephone_number": "717-741-9536",
            "fax_number": "717-741-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 FREEDOM WAY STE 102",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17402",
            "telephone_number": "717-741-9536",
            "fax_number": "717-741-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "MARIA",
        "middle_name": "YVETTE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "PA",
            "license": "RN599469",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP018316",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG0001096",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgibson102447@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2350 Freedom Way Ste 102",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "17402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.