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

Tyler Fornwalt, NP

Individual provider Registered Nurse · NPI 1457233173

Tyler Fornwalt, NP is a Nurse Practitioner in East Stroudsburg, Pennsylvania. Qualified in 2025, 1 year ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
1
Licensed in
PA
In the registry since
2025
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

206 E Brown St
East Stroudsburg, PA 18301-3006
Phone: (570) 421-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 181 E Brown St, East Stroudsburg, PA 18301-3004 — (570) 421-3493

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence SP033949 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN724363 (PA)

Record details

NPI number1457233173
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 23, 2025
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in East Stroudsburg