Terry Jay Peura, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

TP004910D Issued in PA

Practice address

795 E Lancaster Ave Ste 210
Villanova, PA 19085-1525

Phone

(215) 254-6000

Fax

(215) 754-1705

NPI assigned

Mar 30, 2007

Last updated

Jan 29, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Central Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norristown, PA
  • NPI 1568567071
  Medicare reassignment NPD
• CMC of PA PC

  dba Complete Mind Care of PA, PC

  • Psychiatry Physician
  • Horsham, PA
  • NPI 1083341341
  Medicare reassignment NPD
• CMC of PA PC

  dba Complete Mind Care of PA, PC

  • Psychiatry Physician
  • Villanova, PA
  • NPI 1477321230
  NPD (past)
• Complete Mind Care of PA, LLC

  • Adult Mental Health Clinic/Center
  • Abington, PA
  • NPI 1972218667
  NPD (past)
• Complete Mind Care Brain Wellness PLLC

  • Psychiatry Physician
  • Coconut Creek, FL
  • NPI 1447056387
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1427178599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 S PROVIDENCE RD",
            "city": "WALLINGFORD",
            "state": "PA",
            "postal_code": "190867213",
            "telephone_number": "610-874-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 E LANCASTER AVE STE 210",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851525",
            "telephone_number": "215-254-6000",
            "fax_number": "215-754-1705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Elwyn Rd",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190634622",
            "country_code": "US",
            "telephone_number": "610-891-7007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "721 Dresher Rd Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Horsham",
            "state": "PA",
            "postal_code": "190442216",
            "country_code": "US",
            "telephone_number": "215-254-6000",
            "fax_number": "215-754-1705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEURA",
        "first_name": "TERRY",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "TP004910D",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "TP004910D",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "TP004910D",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viraj Ashish Parikh, PA-C
• Lilly Moss Parllaku, PA-C
• James Monroe Pedigo, MD
• John Peters
• Amanda Petruskevicius, CRNP
• David Pezzeca, PSY.D.
• Alison Dean Portnoy, M.D.
• Candice N Post, PSYD
• Robin Dale Powell, M.D.
• Premier Mobile Diagnostics Inc.

• Nurse Practitioner in Villanova, PA
• Providers in Villanova, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.