RACHAEL ANN FORNWALT CRNP
NPI 1750774691
Nurse Practitioner in State College, PA

Q: What is Rachael Fornwalt's NPI number?

The NPI number for Rachael Fornwalt is 1750774691. It was assigned to this individual provider in the NPPES registry on March 17, 2015.

Q: What is Rachael Fornwalt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Rachael Fornwalt was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 17, 2015PECOS EnrolledAccepts Medicare Assignment

74.39/100

CMS Quality Rating

239 COLONNADE BLVD FL 2, STATE COLLEGE, PA 16803(582) 220-2215(582) 220-2216 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Rachael Ann Fornwalt Crnp NPPES

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

RACHAEL ANN FORNWALT CRNP (NPI 1750774691) is an individual nurse practitioner in State College, Pennsylvania, licensed in Pennsylvania (SPO29497) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Penn Highlands Huntingdon, and is a graduate of Johns Hopkins University School Of Medicine (2014).

NPPES Registry Identity

NPI1750774691

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameRACHAEL ANN FORNWALTCredential: CRNP

Location Address239 COLONNADE BLVD FL 2State College, PA 16803-2668

Mailing Address239 Colonnade Blvd Fl 2State College, PA 16803-2668 · (582) 220-2215 · Fax (582) 220-2216

Phone(582) 220-2215

Fax(582) 220-2216

Sole ProprietorYes

Medical School CMSJohns Hopkins University School Of MedicineGraduated 2014

Enumeration DateMarch 17, 2015

Last NPPES UpdateMay 11, 2026

NPPES CertifiedMay 11, 2026

✔ NPI 1750774691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in PA · SPO29497

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License R201859 (MD)

239 COLONNADE BLVD FL 2, State College, PA 16803

Open in Google Maps ↗

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

Rachael Ann Fornwalt Crnp 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 ID5597079681

PECOS Enrollment IDI20250616000582

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 5

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

Penn Highlands Huntingdon

Acute Care Hospitals · Huntingdon, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390056

Location1225 Warm Springs AveHuntingdon, PA 16652 · Huntingdon County

Emergency services

Upmc Altoona

Acute Care Hospitals · Altoona, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390073

Location620 Howard AvenueAltoona, PA 16601 · Blair County

Emergency services Birthing friendly

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390086

Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390268

Location1800 East Park AveState College, PA 16803 · Centre County

Emergency services Birthing friendly

Penn Highlands Tyrone

Critical Access Hospitals · Tyrone, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number391307

Location187 Hospital DriveTyrone, PA 16686 · Blair County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16803 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.71

Promoting Interoperability

Improvement Activities

Cost

52.43

Other Providers at the Same Location NPPES

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

JAMIE L BUSH CRNP

Nurse Practitioner

239 COLONNADE BLVD FL 2
STATE COLLEGE, PA 16803

Centre County (814) 375-3770

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 Rachael Fornwalt's NPI number?

The NPI number for Rachael Fornwalt is 1750774691. It was assigned to this individual provider in the NPPES registry on March 17, 2015.

Where is Rachael Fornwalt located?

Rachael Fornwalt practices at 239 Colonnade Blvd Fl 2, State College, PA 16803. The listed phone number is (582) 220-2215.

What is Rachael Fornwalt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rachael Fornwalt enrolled in Medicare?

Yes. Rachael 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 Rachael Fornwalt affiliated with any hospitals?

According to CMS data, Rachael Fornwalt is affiliated with Penn Highlands Huntingdon, Upmc Altoona, Penn Highlands Dubois, Mount Nittany Medical Center and Penn Highlands Tyrone.

When was this NPI record last updated?

The NPPES record for Rachael Fornwalt was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.