TERI MICHELE BUTKIEWICZ (CRNP) – Acute Care Nurse Practitioner, NPI 1265186167

TERI MICHELE BUTKIEWICZ (CRNP) is a healthcare provider. based in Lititz, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. SP024803 (PA). The NPI Number for TERI MICHELE BUTKIEWICZ (CRNP) is 1265186167

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
TERI MICHELE BUTKIEWICZ (CRNP)
NPI
1265186167
Phone
(717) 606-2800
Address
632 CHICKADEE DR
Enumeration Date
9 February 2022
Last Update Date
9 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8775444446
Graduation Year
2021 (5 years ago)
PAC ID
7517352354
Group Practice PAC ID
4385163849
Professional Enrollment ID
I20220315000983
Address ID
PA191091029PH123XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

11,469 NURSE PRACTITIONER in PA

Provider Addresses for TERI MICHELE BUTKIEWICZ (CRNP)

  • 632 CHICKADEE DR

    LITITZ, PA 175437999

    Phone: (717) 606-2800

    Type: Mailing

  • 500 UNIVERSITY DR

    HERSHEY, PA 170332360

    Phone: (717) 314-8060

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220315000983INurse PractitionerPATBD
I20240918003027INurse PractitionerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 17543)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385163849View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerOH
Nurse PractitionerMD
Nurse PractitionerPA
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I use this page to confirm TERI MICHELE BUTKIEWICZ (CRNP)'s NPI?
Yes. TERI MICHELE BUTKIEWICZ (CRNP) is listed with NPI 1265186167 in the public NPI dataset.
Is TERI MICHELE BUTKIEWICZ (CRNP) still practicing?
TERI MICHELE BUTKIEWICZ (CRNP) is currently listed as active in the public NPI registry.
What is TERI MICHELE BUTKIEWICZ (CRNP)'s specialty?
The listing groups TERI MICHELE BUTKIEWICZ (CRNP) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does TERI MICHELE BUTKIEWICZ (CRNP) list a practice location?
Patients near Lititz, Pennsylvania may find TERI MICHELE BUTKIEWICZ (CRNP) in results; validate coverage separately.
Is the information about TERI MICHELE BUTKIEWICZ (CRNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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