MRS. MARY LOU CAMERON FORNEHED ACNP, BC
NPI 1083647275
Nurse Practitioner - Acute Care in Cookeville, TN

Q: What is Mary Lou Fornehed's NPI number?

The NPI number for Mary Lou Fornehed is 1083647275. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Q: What is Mary Lou Fornehed's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Mary Lou Fornehed was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 09, 2006PECOS Enrolled

145 W 4TH ST STE 201, COOKEVILLE, TN 38501(931) 783-2143(931) 783-2152 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2022, May 26, 2022, Aug 1, 2018 and 2 more (5 updates tracked since 2017).

On this page

About Mrs. Mary Lou Cameron Fornehed Acnp, Bc NPPES

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

MRS. MARY LOU CAMERON FORNEHED ACNP, BC (NPI 1083647275) is an individual acute care provider in Cookeville, Tennessee, licensed in Tennessee (6081) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083647275

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMRS. MARY LOU CAMERON FORNEHEDCredential: ACNP, BC

Location Address145 W 4TH ST STE 201Cookeville, TN 38501

Mailing Address140 W 7th StCookeville, TN 38501-1726 · (931) 783-5582 · Fax (931) 526-6760

Phone(931) 783-2143

Fax(931) 783-2152

Sole ProprietorNo

Enumeration DateJuly 9, 2006

Last NPPES UpdateJuly 13, 20225 updates tracked since enumeration

NPPES CertifiedJuly 13, 2022

✔ NPI 1083647275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TN · 6081

145 W 4TH ST STE 201, Cookeville, TN 38501

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Other Identifiers 4

Medicaid1530878TN

Other4026322TN · Blue Cross Pin

Other4346448TN · Bcbs

Medicaid78013588KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary Lou Cameron Fornehed Acnp, Bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Medicare enrollment records show Mary Lou Fornehed reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tn Lung And Sleep Center LLC

0.1 mi

Pulmonary Disease

135 W 3RD ST
Cookeville, TN 38501

Reassigned Medicare billing, Tennessee enrollment
3 clinicians in this Medicare group

NPI 1265057855 (931) 202-3697

Cookeville Regional Medical Group, Inc

0.2 mi

Multi-Specialty

140 W 7TH ST
Cookeville, TN 38501

Reassigned Medicare billing, Tennessee enrollment
124 clinicians in this Medicare group

NPI 1649202102 (931) 783-5582

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38501 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 14

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

PAMELA SHELTON DOBBS PA-C

Physician Assistant