Individual provider Active NPI

Maria E Renteria

  • Family Nurse Practitioner
  • East Berlin, PA
National Provider Identifier
1841713484
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017573 Issued in PA
Practice address
105 4TH St
East Berlin, PA 17316-9638
Phone
(717) 812-4900
Fax
(717) 255-0951
NPI assigned
Jul 25, 2017
Last updated
Jun 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP017573 PA Primary

Addresses

Primary practice location

105 4TH St
East Berlin, PA 17316-9638

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

100 Eisenhower Dr Ste 360
Hanover, PA 17331-5241
Phone (717) 646-4201

Other practice location 2

9 Nathan Ln
Annville, PA 17003-6500
Phone (717) 639-3350

Other practice location 3

717 Town Center Dr
York, PA 17408-4824
Phone (717) 356-4240

Other practice location 4

2149 S Queen St
York, PA 17403-4845
Phone (717) 356-4460

Other practice location 5

446 N Reading Rd
Ephrata, PA 17522-9802
Phone (717) 738-5275

Other practice location 6

455 S Washington St Ste 12
Gettysburg, PA 17325-2516
Phone (717) 339-2875

Other practice location 7

101 W Airport Rd
Lititz, PA 17543-9274
Phone (717) 466-2445

Other practice location 8

4050 N George Street Ext
Manchester, PA 17345-9347
Phone (717) 356-4370

Other practice location 9

96 Sofia Dr Ste 208
Shrewsbury, PA 17361-5201
Phone (717) 812-2400

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
I20170912002296 PA Practitioner - Nurse Practitioner 5294008371 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
Telehealth
Offers telehealth services
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

105 4TH St
East Berlin, PA 17316-9638
Phone (717) 812-4900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Aug 21, 2017 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Aug 21, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

2900 Carlisle Pike
New Oxford, PA 17350
Phone (717) 624-5260

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

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

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

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

Interoperability endpoints

  • Direct secure messaging: mrenteria18155@wellspan.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1841713484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 4TH ST",
            "city": "EAST BERLIN",
            "state": "PA",
            "postal_code": "173169638",
            "telephone_number": "717-812-4900",
            "fax_number": "717-255-0951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Eisenhower Dr Ste 360",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173315241",
            "country_code": "US",
            "telephone_number": "717-646-4201",
            "fax_number": "717-646-4202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Nathan Ln",
            "address_purpose": "LOCATION",
            "city": "Annville",
            "state": "PA",
            "postal_code": "170036500",
            "country_code": "US",
            "telephone_number": "717-639-3350",
            "fax_number": "717-303-3546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "717 Town Center Dr",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174084824",
            "country_code": "US",
            "telephone_number": "717-356-4240",
            "fax_number": "717-356-4241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2149 S Queen St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174034845",
            "country_code": "US",
            "telephone_number": "717-356-4460",
            "fax_number": "717-260-3326",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "446 N Reading Rd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175229802",
            "country_code": "US",
            "telephone_number": "717-738-5275",
            "fax_number": "717-738-5278",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 S Washington St Ste 12",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252516",
            "country_code": "US",
            "telephone_number": "717-339-2875",
            "fax_number": "717-334-3921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175439274",
            "country_code": "US",
            "telephone_number": "717-466-2445",
            "fax_number": "717-466-2447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4050 N George Street Ext",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "PA",
            "postal_code": "173459347",
            "country_code": "US",
            "telephone_number": "717-356-4370",
            "fax_number": "717-260-3316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "96 Sofia Dr Ste 208",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "PA",
            "postal_code": "173615201",
            "country_code": "US",
            "telephone_number": "717-812-2400",
            "fax_number": "717-812-3005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENTERIA",
        "first_name": "MARIA",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Berlin, PA

Sources for this page

Verify at the official NPI Registry.