MRS. TERRI A PROWELL CRNP
NPI 1144603986
Nurse Practitioner - Family in Hanover, PA

Active since June 29, 2015PECOS EnrolledAccepts Medicare Assignment
82.54/100
CMS Quality Rating
2201 BRUNSWICK DR STE 2300, HANOVER, PA 17331(717) 316-3670(717) 316-7441 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 2, 2021, Jan 29, 2021, Aug 7, 2020 and 2 more (5 updates tracked since 2015).

About Mrs. Terri A Prowell Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TERRI A PROWELL CRNP (NPI 1144603986) is an individual family provider in Hanover, Pennsylvania, licensed in Pennsylvania (SP015127) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144603986
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TERRI A PROWELLCredential: CRNP
Location Address2201 BRUNSWICK DR STE 2300Hanover, PA 17331-8350
Mailing Address2201 Brunswick Dr Ste 2300Hanover, PA 17331-8350 · (717) 316-3670 · Fax (717) 316-7441
Fax(717) 316-7441
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 29, 2015
Last NPPES UpdateFebruary 2, 20215 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2021
NPI 1144603986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in PA · SP015127
Also ListedRegistered NurseTaxonomy 163W00000X · License RN538201 (PA)
2201 BRUNSWICK DR STE 2300, Hanover, PA 17331

Secondary Practice Locations 2

Location 13130 Grandview Rd Ste 2Hanover, PA 17331-9134 · Phone (717) 316-3670
Location 22190 N Susquehanna TrlYork, PA 17404-1624 · Phone (717) 852-7766 · Fax (717) 852-7862

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Terri A Prowell Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173832169
PECOS Enrollment IDI20151013001888
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
262 services149 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
96 services46 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
65 services51 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
50 services46 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
47 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services17 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Gettysburg Hospital

Acute Care Hospitals · Gettysburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390065
Location147 Gettys StreetGettysburg, PA 17325 · Adams County
Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Upmc Hanover

Acute Care Hospitals · Hanover, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390233
Location300 Highland AveHanover, PA 17331 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17331 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.62
Promoting Interoperability100
Improvement Activities40
Cost65.18

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers12 claims12 services$183.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
2201 BRUNSWICK DR STE 2300
HANOVER, PA 17331
Nurse Practitioner
2201 BRUNSWICK DR STE 2300
HANOVER, PA 17331
Surgery
2201 BRUNSWICK DR STE 2300
HANOVER, PA 17331
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2201 BRUNSWICK DR STE 2300
HANOVER, PA 17331
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2201 BRUNSWICK DR STE 2300
HANOVER, PA 17331
Nurse Practitioner (Gerontology)
2201 BRUNSWICK DR STE 2300
HANOVER, PA 17331
Surgery
2201 BRUNSWICK DR STE 2300
HANOVER, PA 17331

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Terri Prowell's NPI number?

The NPI number for Terri Prowell is 1144603986. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Where is Terri Prowell located?

Terri Prowell practices at 2201 Brunswick Dr Ste 2300, Hanover, PA 17331. The listed phone number is (717) 316-3670.

What is Terri Prowell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Terri Prowell enrolled in Medicare?

Yes. Terri Prowell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Terri Prowell affiliated with any hospitals?

According to CMS data, Terri Prowell is affiliated with Wellspan York Hospital, Gettysburg Hospital, Upmc Pinnacle Hospitals and Upmc Hanover.

When was this NPI record last updated?

The NPPES record for Terri Prowell was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.