Individual provider Active NPI

Rachel Callie Teti, PA-C

  • Medical Physician Assistant
  • Lancaster, PA
National Provider Identifier
1801364583
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA060324 Issued in PA
Practice address
2160 Noll Dr Ste 200
Lancaster, PA 17603-7608
Phone
(717) 481-8720
Fax
(717) 481-8726
NPI assigned
Nov 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA060324 PA Primary

Addresses

Primary practice location

2160 Noll Dr Ste 200
Lancaster, PA 17603-7608

Mailing address

409 S 2ND St Ste 2F
Harrisburg, PA 17104-1612

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
I20190211000125 PA Practitioner - Physician Assistant 2365780756 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle ENT Alliance LLCGroup PAC ID 7416963988, 70 clinicians

Practice addresses (Care Compare)

927 Russell Dr
Lebanon, PA 17042-7487
Phone (717) 274-9775

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA060324PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians CurrentSince Feb 11, 2019 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Feb 11, 2019 Accepting new patients
Pinnacle ENT Alliance LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

301 W Chester Pike
Ste 101
Havertown, PA 19083
Phone (610) 446-6900

2160 Noll Dr
Ste 200
Lancaster, PA 17603
Phone (717) 481-8720

927 Russell Dr
Lebanon, PA 17042
Phone (717) 228-0505

994 Old Eagle School Rd
Ste 1017
Wayne, PA 19087
Phone (610) 902-6092

Organizations & group practices 3

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.

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": "1541894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1801364583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 2ND ST STE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 NOLL DR STE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176037608",
            "telephone_number": "717-481-8720",
            "fax_number": "717-481-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETI",
        "first_name": "RACHEL",
        "middle_name": "CALLIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-11",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA060324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.