Individual provider Active NPI

Shirley B Terenchin, CRNP

  • Family Nurse Practitioner
  • Lititz, PA
National Provider Identifier
1780651364
Registry record updated Sep 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
VP000778B Issued in PA
Practice address
562 W 2ND Ave
Lititz, PA 17543-1816
Phone
(717) 626-2167
Fax
(717) 626-1915
NPI assigned
Mar 2, 2006
Last updated
Sep 1, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2007

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 VP000778B PA Primary

Addresses

Primary practice location

562 W 2ND Ave
Lititz, PA 17543-1816

Mailing address

562 W 2ND Ave
Lititz, PA 17543-1816
Phone (717) 626-2167

Other identifiers 2

IdentifierTypeStateIssuer
50052503OtherPACAPITAL BLUE CROSS
S62056OtherPAHEALTH ASSURANCE

Other names 1

  • Shirley Bucher-Lee Former name

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
I20050713000303 PA Practitioner - Nurse Practitioner 1456387240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1983
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)

3045 Marietta Ave
Lancaster, PA 17601-1321
Phone (717) 299-4644

562 W 2ND Ave
Lititz, PA 17543-1816

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince Dec 14, 1992 Accepting new patients
Lancaster General Medical Group CurrentSince Dec 14, 1992 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

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

51 Peters Rd
Ste 201
Lititz, PA 17543
Phone (717) 544-6260

562 W 2nd Ave
Lititz, PA 17543
Phone (717) 626-2167

Interoperability endpoints

  • Direct secure messaging: sterenchin2582@direct-lghealth.org

Organizations & group practices 4

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 3

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188604800000",
    "number": "1780651364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 W 2ND AVE",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175431816",
            "telephone_number": "717-626-2167",
            "fax_number": "717-626-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 W 2ND AVE",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175431816",
            "telephone_number": "717-626-2167",
            "fax_number": "717-626-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERENCHIN",
        "first_name": "SHIRLEY",
        "middle_name": "B",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2007-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "VP000778B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50052503",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "S62056",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "BUCHER-LEE",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lititz, PA

Sources for this page

Verify at the official NPI Registry.