COLLEEN LYNN FORNEAR PMHNP- BC
NPI 1962120774
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ
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, maintains a secondary practice location in Gilbert, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Colleen Fornear reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Phoenix, AZ 85029
- Reassigned Medicare billing, Arizona enrollment
- 58 clinicians in this Medicare group
Lehi, UT 84043
- Reassigned Medicare billing, Arizona enrollment
- 66 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organizations bill Medicare for Colleen Fornear's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Colleen Fornear reassigns Medicare benefits to 2 organizations: Spectrum Healthcare Group, Inc (Phoenix, AZ) and Serenity Tms Centers LLC (Lehi, UT). Each 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 Colleen Fornear's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Colleen Fornear accept?
Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. 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 3 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.
# Colleen Lynn Fornear, PMHNP- BC · NPI 1962120774
Psychiatric/Mental Health physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since August 17, 2022.
## Identity
- **NPI:** 1962120774 (Entity type: Individual)
- **Enumerated:** August 17, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** RNP279264 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 3636 N CENTRAL AVE, Phoenix, AZ 85012-1927
- **Phone:** (602) 234-3733
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Spectrum Healthcare Group, Inc (NPI 1912614413, Phoenix, AZ); Serenity Tms Centers LLC (NPI 1710492095, Lehi, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1962120774) · Data from the CMS NPPES public registry.