Individual provider Active NPI

Teri Michele Butkiewicz, CRNP

  • Acute Care Nurse Practitioner
  • Hershey, PA
National Provider Identifier
1265186167
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP024803 Issued in PA
Practice address
500 University Dr
Hershey, PA 17033-2360
Phone
(717) 314-8060
NPI assigned
Feb 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP024803 PA Primary

Addresses

Primary practice location

500 University Dr
Hershey, PA 17033-2360

Mailing address

632 Chickadee Dr
Lititz, PA 17543-7999
Phone (717) 606-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220315000983 PA Practitioner - Nurse Practitioner 7517352354 Reassigns benefits to 2 organizations
I20240918003027 MN Practitioner - Nurse Practitioner 7517352354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SNF Physiatry Services PA PLLCGroup PAC ID 4385163849, 9 clinicians

Practice addresses (Care Compare)

123 S Broad St
FL 15
Philadelphia, PA 19109-1029
Phone (877) 544-4446

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11625MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center - Physicians Group CurrentSince Feb 28, 2022 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Matrix Medical Plus CurrentSince Sep 1, 2024 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Feb 28, 2022 Accepting new patients
Mid-South Home Care Services, LLC Current Accepting new patients
SNF Physiatry Services PA PLLC CurrentSince Dec 10, 2025 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

121 Washington Ave N
Fl 4
Minneapolis, MN 55401
Phone (404) 992-2702

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

185 Route 70
Ste 306
Toms River, NJ 08755

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

875 Poplar Church Rd
Ste 400
Camp Hill, PA 17011
Phone (717) 975-0900

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

123 S Broad St
Fl 15
Philadelphia, PA 19109
Phone (484) 862-5123

Organizations & group practices 6

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": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1265186167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 CHICKADEE DR",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437999",
            "telephone_number": "717-606-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "717-314-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTKIEWICZ",
        "first_name": "TERI",
        "middle_name": "MICHELE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP024803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.