Rachael Ann Fornwalt

CRNP | Nurse Practitioner | 12+ years Exp

239 Colonnade Blvd Fl 2, State College
  Pennsylvania, 16803-2668
582-220-2215
Accepts Medicare Nurse Practitioner in State College, Pennsylvania.
Rachael Ann Fornwalt is a State College, Pennsylvania based nurse practitioner with 12 years of experience as Nurse Practitioner. She completed her graduation in 2014. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Rachael Ann Fornwalt is SPO29497 for Nurse Practitioner in Pennsylvania. Her current practice location is 239 Colonnade Blvd Fl 2, State College. Patients can reach her at 582-220-2215 or can fax her at 582-220-2216. Rachael Ann Fornwalt is CRNP with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1750774691.
Rachael Ann Fornwalt has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Rachael Ann Fornwalt speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Rachael Ann Fornwalt
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: CRNP
Experience: 12+ years
Medical School Attended:Other
Graduation Year:2014
Accepts Medicare Assignment:Yes
Practice Address:239 Colonnade Blvd Fl 2, State College,
Pennsylvania, 16803-2668
Phone:582-220-2215
Fax:582-220-2216
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 5597079681
Enrollment ID: I20150803002307
NPI Number: 1750774691
NPI Enumeration Date: 17 Mar, 2015
NPI Last Update On: 11 May, 2026

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Rachael Ann Fornwalt are as mentioned below.
License NumberSpecializationStateStatus
SPO29497Nurse Practitioner PennsylvaniaPrimary
R201859Registered Nurse MarylandSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(210009)Baltimore, MDAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Rachael Ann Fornwalt is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Johns Hopkins University (8921903147)2602
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Rachael Ann Fornwalt
239 Colonnade Blvd Fl 2,
State College, Pennsylvania
Zip: 16803-2668
Phone Number: 582-220-2215
Fax Number: 582-220-2216
Patients can reach Rachael Ann Fornwalt at 239 Colonnade Blvd Fl 2, State College, Pennsylvania or can call to book an appointment on 582-220-2215.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.