HEATHER NICOLE FORNEY (CRNP) – Nurse Practitioner, NPI 1831915446

HEATHER NICOLE FORNEY (CRNP) is a healthcare provider. based in Middleburg, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. RN685989 (PA). The NPI Number for HEATHER NICOLE FORNEY (CRNP) is 1831915446

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER NICOLE FORNEY (CRNP)
NPI
1831915446
Phone
(570) 837-2123
Address
7 DOCK HILL RD
Enumeration Date
27 November 2024
Last Update Date
9 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7175673151
Graduation Year
2024 (2 years ago)
PAC ID
0446787287
Group Practice PAC ID
0244124212
Professional Enrollment ID
I20241218002061
Address ID
PA170748706NE52XXXCTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:1State licenses:2Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for HEATHER NICOLE FORNEY (CRNP)

  • 7 DOCK HILL RD

    MIDDLEBURG, PA 178428910

    Phone: (570) 837-2123

    Fax: (570) 837-2185

    Type: Mailing

  • 52 RED HILL CT

    NEWPORT, PA 170748706

    Phone: (717) 567-3151

    Fax: (717) 567-7571

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241218002061INurse PractitionerPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 17842)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244124212View full group profile

Reviews

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Frequently asked questions

How is HEATHER NICOLE FORNEY (CRNP) identified in CMS data?
CMS-hosted NPPES data lists HEATHER NICOLE FORNEY (CRNP) with NPI 1831915446.
Does the file indicate HEATHER NICOLE FORNEY (CRNP) is practicing under active NPI?
Directory data currently reports HEATHER NICOLE FORNEY (CRNP) as active.
What taxonomy line describes HEATHER NICOLE FORNEY (CRNP)?
For research purposes, treat HEATHER NICOLE FORNEY (CRNP) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is HEATHER NICOLE FORNEY (CRNP) based?
HEATHER NICOLE FORNEY (CRNP) is tied to Middleburg, Pennsylvania in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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