Individual provider Active NPI

Martina Majella Sobolesky, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Coatesville, PA
National Provider Identifier
1669099719
Registry record updated Jul 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP021876 Issued in PA
Practice address
201 Reeceville Rd
Coatesville, PA 19320-1542
Phone
(610) 383-8000
NPI assigned
Jul 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP021876 PA Primary

Addresses

Primary practice location

201 Reeceville Rd
Coatesville, PA 19320-1542

Mailing address

55 Village Way
Malvern, PA 19355-2114
Phone (302) 540-4721

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
I20201229000064 PA Practitioner - Nurse Practitioner 5395158935 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

802 New Holland Avenue
100 Penn Medicine LGHP Behavioral Health
Lancaster, PA 17602-2288
Phone (717) 560-3782

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP021876PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Jun 29, 2025 Accepting new patients
Lancaster General Medical Group Psychiatric/Mental Health CurrentSince Jun 7, 2021 Accepting new patients
Lancaster General Hospital CurrentSince Feb 28, 2023 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Jun 29, 2025 Accepting new patients
Hopewell Psychology LLC CurrentSince Jun 29, 2026 Accepting new patients
Lancaster General Medical Group CurrentSince Jun 7, 2021 Accepting new patients
Springfield Psychological PC CurrentSince Jun 3, 2023 Accepting new patients
Lancaster General Hospital CurrentSince Feb 28, 2023 Accepting new patients

Locations

1999 Sproul Rd
Ste 23
Broomall, PA 19008
Phone (484) 731-0000

426 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 299-1301

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

802 New Holland Ave
Ste 100
Lancaster, PA 17602
Phone (717) 544-1427

620 Spear St
Oxford, PA 19363
Phone (610) 932-9300

1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144

7 Neshaminy Interplex Dr
Trevose, PA 19053

770 E Market St
Ste 135
West Chester, PA 19382
Phone (484) 919-5889

Interoperability endpoints

  • Direct secure messaging: martina.sobolesky.1@28623.direct.athenahealth.com

Organizations & group practices 8

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": "1593907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593907200000",
    "number": "1669099719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 VILLAGE WAY",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193552114",
            "telephone_number": "302-540-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 REECEVILLE RD",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201542",
            "telephone_number": "610-383-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBOLESKY",
        "first_name": "MARTINA",
        "middle_name": "MAJELLA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-05",
        "last_updated": "2020-07-05",
        "certification_date": "2020-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP021876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coatesville, PA

Sources for this page

Verify at the official NPI Registry.