Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. TERRY JEAN NESMITH CRNP
NPI 1780026385
Nurse Practitioner in Cresson, PA

Active since July 24, 2013PECOS Enrolled

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 22, 2026, Mar 7, 2019, Jul 31, 2018 and 1 more (4 updates tracked since 2015).

About Ms. Terry Jean Nesmith Crnp NPPES

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

MS. TERRY JEAN NESMITH CRNP (NPI 1780026385) is an individual nurse practitioner in Cresson, Pennsylvania, licensed in Pennsylvania (SP021891) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in New Florence, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1780026385
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. TERRY JEAN NESMITHCredential: CRNP
Location Address815 2ND STCresson, PA 16630-1141
Mailing Address815 2nd StCresson, PA 16630-1141 · (724) 874-1485
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 24, 2013
Last NPPES UpdateSeptember 22, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1780026385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP021891
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN573366 (PA)
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License RN573366 (PA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License SP021891 (PA)
815 2ND ST, Cresson, PA 16630

Other Names 1

Former Name (1)Terry Jean Crowe Rn

Secondary Practice Location 1

Location 1122 Chestnut StNew Florence, PA 15944 · Phone (724) 858-5153

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Terry Jean Nesmith Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173825395
PECOS Enrollment IDI20160105002530
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Terry Nesmith reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
823 2ND ST
Cresson, PA 16630
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 771 clinicians in this Medicare group
Multi-Specialty
104 DELAWARE AVE STE 244
Uniontown, PA 15401
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Ars Treatment Centers PC
  • 140 clinicians in this Medicare group
Psychiatry
10320 LITTLE PATUXENT PKWY STE 200
Columbia, MD 21044
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 108 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
71 services15 patients
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.
71 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16630 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.

Other Providers at the Same Location NPPES 6

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

Family Medicine
815 2ND ST
CRESSON, PA 16630
Family Medicine
815 2ND ST
CRESSON, PA 16630
Nurse Practitioner (Family)
815 2ND ST
CRESSON, PA 16630
Physician Assistant
815 2ND ST
CRESSON, PA 16630
Family Medicine
815 2ND ST
CRESSON, PA 16630
Hospitalist
815 2ND ST
CRESSON, PA 16630

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 Terry Nesmith's NPI number?

The NPI number for Terry Nesmith is 1780026385. It was assigned to this individual provider in the NPPES registry on July 24, 2013. The provider is also known as Terry Jean Crowe Rn.

Where is Terry Nesmith located?

Terry Nesmith practices at 815 2nd St, Cresson, PA 16630. The listed phone number is (724) 874-1485.

What is Terry Nesmith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Terry Nesmith enrolled in Medicare?

Yes. Terry Nesmith is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Terry Nesmith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terry Nesmith reassigns Medicare benefits to 3 organizations: Dlp Conemaugh Physician Practices LLC (Cresson, PA), Ars Treatment Centers, P.C. (Uniontown, PA) and Psychogeriatric Services LLC (Columbia, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Terry Nesmith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Terry Nesmith accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Terry Nesmith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Terry Nesmith was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.