MS. CELIA G FORNO (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1437293909
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. CELIA G FORNO (PMHNP)
711 STATE AVE NE
OLYMPIA, WA 985063984
Phone: (360) 943-0780
Type: Location
770 LYNNHAVEN PKWY
STE 240
VIRGINIA BEACH, VA 234527324
Phone: (503) 215-6494
Fax: (603) 215-6644
Type: Mailing
5228 NE HOYT ST
BLDG B, 2ND FLOOR
PORTLAND, OR 972133055
Phone: (503) 216-2028
Type: Location
5228 NE Hoyt St
Bldg B, 2nd Floor
Portland, OR 972133055
Phone: (503) 216-2028
Type: Location
2001 Kingsley Ave
Orange Park, FL 320735148
Phone: (904) 247-2499
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $132.
Total Amount is formed as General ($132) + Research ($0) + Ownership ($0) = $132.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: PFIZER INC. ($108).
Total Amount
$132
General + Research + Ownership
Payments
2
Total payment records
General Amount
$132
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $108 |
| ABBVIE INC. | $24 |
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: 2025-01-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060302000091 | I | Nurse Practitioner | AZ | TBD |
| I20081204000991 | I | Nurse Practitioner | NC | TBD |
| I20100924000582 | I | Nurse Practitioner | WA | TBD |
| I20220110002070 | I | Nurse Practitioner | FL | TBD |
| I20250102001018 | I | Nurse Practitioner | SC | TBD |
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.
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 98506)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| - | IL | |
| O P H T H A L M O L O G Y | OR | |
| O P H T H A L M O L O G Y | WA | |
| Nurse Practitioner | WA | |
| Family Practice | WA | |
| Interventional Radiology, Diagnostic Radiology | OH | |
| Physician Assistant | ID | |
| Clinical Psychologist | WA |
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