COLLEEN LYNN FORNEAR PMHNP- BC
NPI 1962120774
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since August 17, 2022PECOS EnrolledAccepts Medicare Assignment
3636 N CENTRAL AVE, PHOENIX, AZ 85012(602) 234-3733 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 10, 2023, Aug 24, 2022, Aug 17, 2022 (3 updates tracked since 2022).

About Colleen Lynn Fornear Pmhnp- Bc NPPES

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

COLLEEN LYNN FORNEAR PMHNP- BC (NPI 1962120774) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (RNP279264) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1962120774
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCOLLEEN LYNN FORNEARCredential: PMHNP- BC
Location Address3636 N CENTRAL AVEPhoenix, AZ 85012-1927
Mailing Address3636 N Central AvePhoenix, AZ 85012-1927
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 17, 2022
Last NPPES UpdateOctober 10, 20233 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
NPI 1962120774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in AZ · RNP279264
3636 N CENTRAL AVE, Phoenix, AZ 85012

Accepted Insurance

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

Colleen Lynn Fornear Pmhnp- Bc 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 ID1355797663
PECOS Enrollment IDI20231023002893
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85012 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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 Colleen Fornear's NPI number?

The NPI number for Colleen Fornear is 1962120774. It was assigned to this individual provider in the NPPES registry on August 17, 2022.

Where is Colleen Fornear located?

Colleen Fornear practices at 3636 N Central Ave, Phoenix, AZ 85012. The listed phone number is (602) 234-3733.

What is Colleen Fornear's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Colleen Fornear enrolled in Medicare?

Yes. Colleen Fornear 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.

What insurance does Colleen Fornear accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc., Providence Health Plan and UnitedHealthcare list Colleen Fornear as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Colleen Fornear was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.