Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Teadra Pennycooke, CRNP

Individual provider Primary Care Nurse Practitioner · NPI 1649746249

Teadra Pennycooke, CRNP is a Nurse Practitioner in Carlisle, Pennsylvania. Qualified in 2018, 8 years ago. Practices with Johns Hopkins Community Physicians, Inc, a 765-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
8
Licensed in
PA
In the registry since
2018
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1 Longsdorf Way
Carlisle, PA 17015-7623
Phone: (203) 918-4796
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence SP019459 (PA)

Record details

NPI number1649746249
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedOctober 22, 2018
Last updated in NPPESNovember 29, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Johns Hopkins Community Physicians, Inc — 765 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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