TYLER FORNWALT NP
NPI 1457233173
Nurse Practitioner - Acute Care in East Stroudsburg, PA

Active since July 23, 2025PECOS EnrolledAccepts Medicare Assignment
206 E BROWN ST, EAST STROUDSBURG, PA 18301(570) 421-4000 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tyler Fornwalt Np NPPES

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

TYLER FORNWALT NP (NPI 1457233173) is an individual acute care provider in East Stroudsburg, Pennsylvania, licensed in Pennsylvania (SP033949) and active in the NPI registry since July 2025. The provider is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and maintains a secondary practice location in East Stroudsburg.

NPPES Registry Identity

NPI1457233173
Entity TypeIndividual
Primary Taxonomy363LA2100X
Provider Legal NameTYLER FORNWALTCredential: NP
Location Address206 E BROWN STEast Stroudsburg, PA 18301-3006
Mailing Address2100 Mack Blvd Fl 4Allentown, PA 18103-5622 · (484) 884-4500 · Fax (484) 884-0699
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 23, 2025
Last NPPES UpdateOctober 8, 2025
NPPES CertifiedOctober 8, 2025
NPI 1457233173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in PA · SP033949
Also ListedRegistered NurseTaxonomy 163W00000X · License RN724363 (PA)
206 E BROWN ST, East Stroudsburg, PA 18301

Secondary Practice Location 1

Location 1181 E Brown StEast Stroudsburg, PA 18301-3004 · Phone (570) 421-3493

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tyler Fornwalt Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204321235
PECOS Enrollment IDI20251217003544
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18301 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 20

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

Nurse Practitioner (Psychiatric/Mental Health)
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Nurse Anesthetist, Certified Registered
206 E BROWN ST
E STROUDSBURG, PA 18301
Pharmacist
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Physician Assistant (Medical)
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Obstetrics & Gynecology
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Thoracic Surgery (Cardiothoracic Vascular Surgery)
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Speech-Language Pathologist
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Physician Assistant (Surgical)
206 E BROWN ST
EAST STROUDSBURG, PA 18301

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 Tyler Fornwalt's NPI number?

The NPI number for Tyler Fornwalt is 1457233173. It was assigned to this individual provider in the NPPES registry on July 23, 2025.

Where is Tyler Fornwalt located?

Tyler Fornwalt practices at 206 E Brown St, East Stroudsburg, PA 18301. The listed phone number is (570) 421-4000.

What is Tyler Fornwalt's specialty?

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

Is Tyler Fornwalt enrolled in Medicare?

Yes. Tyler Fornwalt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Tyler Fornwalt affiliated with any hospitals?

According to CMS data, Tyler Fornwalt is affiliated with Lehigh Valley Hospital and Lehigh Valley Hospital - Pocono.

When was this NPI record last updated?

The NPPES record for Tyler Fornwalt was last updated on October 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.