Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 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.

See every abbreviation used in this directory →

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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

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $886 34 payments · a meal or drink at a meeting or visit, not a fee
Education $100 1 payment · educational material or training, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at J C Blair Memorial Hospital

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 98 clinicians in the practice; 12 are shown here.

Other providers in State College