TEADRA PENNYCOOKE CRNP
NPI 1649746249
Nurse Practitioner - Primary Care in Carlisle, PA

Active since October 22, 2018PECOS EnrolledAccepts Medicare Assignment
1 LONGSDORF WAY, CARLISLE, PA 17015(203) 918-4796 Get Directions Write a Review

NPPES record last updated: November 29, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 29, 2018, Oct 22, 2018 (2 updates tracked since 2018).

About Teadra Pennycooke Crnp NPPES

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

TEADRA PENNYCOOKE CRNP (NPI 1649746249) is an individual primary care provider in Carlisle, Pennsylvania, licensed in Pennsylvania (SP019459) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1649746249
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameTEADRA PENNYCOOKECredential: CRNP
Location Address1 LONGSDORF WAYCarlisle, PA 17015-7623
Mailing Address1 Longsdorf WayCarlisle, PA 17015-7623 · (717) 323-4001
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 22, 2018
Last NPPES UpdateNovember 29, 20182 updates tracked since enumeration
NPI 1649746249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in PA · SP019459
1 LONGSDORF WAY, Carlisle, PA 17015

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

Teadra Pennycooke 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 ID5991041741
PECOS Enrollment IDI20221224000205
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 9

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.
190 services112 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
69 services69 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
58 services45 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
42 services38 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.
26 services26 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17015 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers12 claims12 services$17.56 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers12 claims12 services$8.09 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 20

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

Physical Therapy Assistant
1 LONGSDORF WAY
CARLISLE, PA 17015
Occupational Therapy Assistant
1 LONGSDORF WAY
CARLISLE, PA 17015
Occupational Therapy Assistant
1 LONGSDORF WAY
CARLISLE, PA 17015
Speech-Language Pathologist
1 LONGSDORF WAY
CARLISLE, PA 17015
Physical Therapist
1 LONGSDORF WAY
CARLISLE, PA 17015
Speech-Language Pathologist
1 LONGSDORF WAY
CARLISLE, PA 17015
Physical Therapy Assistant
1 LONGSDORF WAY
CARLISLE, PA 17015
Physical Therapy Assistant
1 LONGSDORF WAY
CARLISLE, PA 17015

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 Teadra Pennycooke's NPI number?

The NPI number for Teadra Pennycooke is 1649746249. It was assigned to this individual provider in the NPPES registry on October 22, 2018.

Where is Teadra Pennycooke located?

Teadra Pennycooke practices at 1 Longsdorf Way, Carlisle, PA 17015. The listed phone number is (203) 918-4796.

What is Teadra Pennycooke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Teadra Pennycooke enrolled in Medicare?

Yes. Teadra Pennycooke 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.

When was this NPI record last updated?

The NPPES record for Teadra Pennycooke was last updated on November 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.