Active NPI
Teal Hutzler, FNP
- Family Nurse Practitioner
- Hagerstown, MD
National Provider Identifier
1750873097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AC002317
- Practice address
- 201 Prospect Ave
Hagerstown, MD 21742-3204 - Phone
- (304) 283-8992
- NPI assigned
- Jun 2, 2018
- Last updated
- Jun 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AC002317 | MD | Primary |
Addresses
Primary practice location
201 Prospect Ave
Hagerstown, MD 21742-3204
Mailing address
856 Butlers Chapel Rd
Martinsburg, WV 25403-8786
Phone (304) 283-8992
Other practice location 1
347 Ballenger Center Dr
Frederick, MD 21703-7095
Phone (518) 130-1663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1750873097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 BUTLERS CHAPEL RD",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254038786",
"telephone_number": "304-283-8992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 PROSPECT AVE",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217423204",
"telephone_number": "304-283-8992"
}
],
"practiceLocations": [
{
"address_1": "347 Ballenger Center Dr",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217037095",
"country_code": "US",
"telephone_number": "518-130-1663",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUTZLER",
"first_name": "TEAL",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-02",
"last_updated": "2022-06-08",
"certification_date": "2022-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "AC002317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.