FORME MEDICAL CENTER, INC.
NPI 1083755920
Clinic/Center in White Plains, NY
About Forme Medical Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FORME MEDICAL CENTER, INC. (NPI 1083755920), doing business as Forme Urgent Care And Wellness Center, is a healthcare organization registered as a clinic/center in White Plains, New York and active in the NPI registry since February 2007. The organization lists Gina Cappelli, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Other Identifiers 5
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Forme Medical Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Forme Medical Center, Inc., which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Forme Medical Center, Inc.'s NPI number?
The NPI number for Forme Medical Center, Inc. is 1083755920. It was assigned to this organization in the NPPES registry on February 12, 2007. The provider is doing business as Forme Urgent Care and Wellness Center.
Where is Forme Medical Center, Inc. located?
Forme Medical Center, Inc. is located at 7-11 S Broadway Ste 100, White Plains, NY 10601. The listed phone number is (914) 723-4900.
What is Forme Medical Center, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Forme Medical Center, Inc. enrolled in Medicare?
Yes. Forme Medical Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Forme Medical Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 5 Medicare specialties reassign their Medicare billing to Forme Medical Center, Inc.. A 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 the clinician's services. The largest specialties are Nurse Practitioner (4), Internal Medicine (2) and Certified Nurse Midwife (CNM) (1). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Forme Medical Center, Inc. was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Forme Medical Center, Inc. · NPI 1083755920
Clinic/Center organization in White Plains, New York. Organization record, active in the CMS NPPES registry since February 12, 2007.
## Identity
- **NPI:** 1083755920 (Entity type: Organization)
- **Enumerated:** February 12, 2007
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Also known as:** Forme Urgent Care and Wellness Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Gina Cappelli, PRESIDENT
## Practice location
- **Address:** 7-11 S BROADWAY STE 100, White Plains, NY 10601-3520
- **Phone:** (914) 723-4900 · **Fax:** (914) 448-5275
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Internal Medicine (2), Certified Nurse Midwife (CNM) (1); 8 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2025
- **Other identifiers:** Other 23901 (NY); Other 5C7019 (NY); Other A2204263 (NY); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1083755920) · Data from the CMS NPPES public registry.