Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rachael Ann Fornwalt, CRNP

Individual provider Registered Nurse · NPI 1750774691

Rachael Ann Fornwalt, CRNP is a Nurse Practitioner in State College, Pennsylvania. Graduated from Johns Hopkins University School of Medicine in 2014, 12 years ago. Practices with J C Blair Memorial Hospital, a 98-clinician group and accepts Medicare assignment. Licensed in Maryland and Pennsylvania.

Years since qualifying
12
Trained at
Johns Hopkins University School of Medicine
Licensed in
MD, PA
In the registry since
2015
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

239 Colonnade Blvd Fl 2
State College, PA 16803-2668
Phone: (582) 220-2215
Fax: (582) 220-2216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence SPO29497 (PA)
Registered Nurse Taxonomy 163W00000X · Licence R201859 (MD)

Record details

NPI number1750774691
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorYes
NPI enumeratedMarch 17, 2015
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolJOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice J C Blair Memorial Hospital — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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