Colleen Forst, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024180881 Issued in VA

Practice address

17068 Lankford Hwy
Eastville, VA 23347

Phone

(757) 414-0400

NPI assigned

Jan 4, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Shore Rural Health System Incorporated 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIBEAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eastern Shore Rural Health System Incorporated

  • Federally Qualified Health Center (FQHC)
  • New Church, VA
  • NPI 1043341613

  VA

  Medicare reassignment Care Compare group NPD
• Eastern Shore Rural Health System Incorporated

  • Community/Retail Pharmacy
  • Oak Hall, VA
  • NPI 1174224604
  Care Compare group NPD
• Eastern Shore Rural Health System Incorporated

  • Federally Qualified Health Center (FQHC)
  • Eastville, VA
  • NPI 1396876975
  Care Compare group NPD
• Eastern Shore Rural Health System Incorporated

  • Federally Qualified Health Center (FQHC)
  • Franktown, VA
  • NPI 1194856765
  Care Compare group
• Eastern Shore Rural Health System Incorporated

  • Community/Retail Pharmacy
  • Onley, VA
  • NPI 1528775939
  Care Compare group
• Eastern Shore Rural Health System Incorporated

  • Federally Qualified Health Center (FQHC)
  • Onley, VA
  • NPI 1568592426
  Care Compare group
• Eastern Shore Rural Health System Incorporated

  • Federally Qualified Health Center (FQHC)
  • Chincoteague, VA
  • NPI 1598895542
  Care Compare group
• Eastern Shore Rural Health System Incorporated

  • Federally Qualified Health Center (FQHC)
  • Onley, VA
  • NPI 1649987058
  Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1982292116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 MARKET ST",
            "city": "ONANCOCK",
            "state": "VA",
            "postal_code": "234171331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17068 LANKFORD HWY",
            "city": "EASTVILLE",
            "state": "VA",
            "postal_code": "23347",
            "telephone_number": "757-414-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4049 Main St",
            "address_purpose": "LOCATION",
            "city": "Chincoteague",
            "state": "VA",
            "postal_code": "233362406",
            "country_code": "US",
            "telephone_number": "757-414-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20306 Badger Ln",
            "address_purpose": "LOCATION",
            "city": "Onley",
            "state": "VA",
            "postal_code": "23418",
            "country_code": "US",
            "telephone_number": "757-414-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25228 Lankford Highway",
            "address_purpose": "LOCATION",
            "city": "Onley",
            "state": "VA",
            "postal_code": "23418",
            "country_code": "US",
            "telephone_number": "757-414-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5219 Lankford Hwy",
            "address_purpose": "LOCATION",
            "city": "New Church",
            "state": "VA",
            "postal_code": "234153332",
            "country_code": "US",
            "telephone_number": "757-414-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORST",
        "first_name": "COLLEEN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001251712",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024180881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Smith Davidson II, CRNP
• Eastern Shore Rural Health System Incorporated
• Eastern Shore Rural Health System Incorporated
• Eastern Shore Rural Health System Incorporated
• Eastville Medical Care, PLC
• Carsten F Frey, DDS
• Joyce Gomez Jimenez
• Jeanette M Grant, DNP, FNP-BC
• Nancy T Hargis, NP
• Julia Annette Johnson Rayfield, DO

• All providers in Eastville, VA
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.

Verify at the official NPI Registry.