CARRIE FORMAN
NPI 1780570606
Student in an Organized Health Care Education/Training Program in Wynnewood, PA
About Carrie Forman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARRIE FORMAN (NPI 1780570606) is an individual student in an organized health care education/training program in Wynnewood, Pennsylvania, licensed in Pennsylvania (MT235307) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carrie Forman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
WYNNEWOOD, PA 19096
WYNNEWOOD, PA 19096
WYNNEWOOD, PA 19096
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 Carrie Forman's NPI number?
The NPI number for Carrie Forman is 1780570606. It was assigned to this individual provider in the NPPES registry on June 16, 2025.
Where is Carrie Forman located?
Carrie Forman practices at 100 E Lancaster Ave, Wynnewood, PA 19096. The listed phone number is (484) 476-6840.
What is Carrie Forman's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Carrie Forman enrolled in Medicare?
Yes. Carrie Forman is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Carrie Forman was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Carrie Forman · NPI 1780570606
Student in an Organized Health Care Education/Training Program provider in Wynnewood, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 16, 2025.
## Identity
- **NPI:** 1780570606 (Entity type: Individual)
- **Enumerated:** June 16, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** MT235307 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 E LANCASTER AVE, Wynnewood, PA 19096-3450
- **Phone:** (484) 476-6840
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1780570606) · Data from the CMS NPPES public registry.