Active NPI
Rianna Fornwalt, CRNP
- Gerontology Nurse Practitioner
- York, PA
National Provider Identifier
1619549524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- SP024158
- Practice address
- 1701 Innovation Dr
York, PA 17408-8815 - Phone
- (717) 231-8772
- Fax
- (717) 231-8435
- NPI assigned
- Jul 12, 2021
- Last updated
- Jan 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | SP024158 | PA | Primary |
Addresses
Primary practice location
1701 Innovation Dr
York, PA 17408-8815
Mailing address
1701 Innovation Dr
York, PA 17408-8815
Phone (717) 231-8772
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rfornwalt209154@phsdirect.pinnaclehealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 Innovation Dr
York, PA 17408-8815
Phone (717) 231-8772
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.08 of 100
- Quality
- 76.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP024158 | PA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients |
Locations
111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
1701 Innovation Dr
York, PA 17408
Phone (717) 843-8623
Interoperability endpoints
- rfornwalt287550@upmc.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
dba UPMC Gastroenterology Associates of Central PA
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
dba PinnacleHealth Critical Care Provider Services
- Critical Care Medicine (Internal Medicine) Physician
- Mechanicsburg, PA
- NPI 1558738708
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
dba UPMC Pinnacle West Shore
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1619549524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 INNOVATION DR",
"city": "YORK",
"state": "PA",
"postal_code": "174088815",
"telephone_number": "717-231-8772",
"fax_number": "717-231-8435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 INNOVATION DR",
"city": "YORK",
"state": "PA",
"postal_code": "174088815",
"telephone_number": "717-231-8772",
"fax_number": "717-231-8435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORNWALT",
"first_name": "RIANNA",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-12",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "SP024158",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rfornwalt209154@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"address_1": "1701 Innovation Dr",
"city": "York",
"state": "PA",
"country_code": "US",
"postal_code": "174088815",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.