Dr Kayla N Fornal, DNP, APRN, FNP-C - Medicare Nurse Practitioner in North Fort Myers, FL

Dr Kayla N Fornal, DNP, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in North Fort Myers, Florida. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Millennium Physician Group Llc and her current practice location is 15201 N Cleveland Ave Ste 1010, North Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (833) 674-2500.

Dr Kayla N Fornal is licensed to practice in Florida (license number APRN11013641) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710555123.

Contact Information

Dr Kayla N Fornal, DNP, APRN, FNP-C
15201 N Cleveland Ave Ste 1010,
North Fort Myers, FL 33903-2717
(833) 674-2500
(239) 599-4126

Map and Direction




Provider's Profile

Full NameDr Kayla N Fornal
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location15201 N Cleveland Ave Ste 1010, North Fort Myers, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kayla N Fornal graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1710555123
  • Provider Enumeration Date: 06/12/2021
  • Last Update Date: 12/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4284037581
  • Enrollment ID: I20210723002525

Medical Identifiers

Medical identifiers for Dr Kayla N Fornal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710555123NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN11013641 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Trilogy Home HealthcareEstero, FLHome health agency
Cape Coral HospitalCape coral, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Millennium Physician Group Llc9830244433789

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kayla N Fornal allows following entities to bill medicare on her behalf.
Entity NameMillennium Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811122880
PECOS PAC ID: 9830244433
Enrollment ID: O20090903000338

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kayla N Fornal is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kayla N Fornal, DNP, APRN, FNP-C
2675 Winkler Ave Fl 2,
Fort Myers, FL 33901-9342

Ph: (877) 856-3774
Dr Kayla N Fornal, DNP, APRN, FNP-C
15201 N Cleveland Ave Ste 1010,
North Fort Myers, FL 33903-2717

Ph: (833) 674-2500

Reviews and Comments


Nurse Practitioner Nurses in North Fort Myers, FL

Jordyn Bodkin, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 83 Pondella Rd, North Fort Myers, FL 33903
Phone: 239-461-6100    
Taylor Fitori Marrapese, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 13279 N Cleveland Ave, North Fort Myers, FL 33903
Phone: 239-652-4111    
Susan M Samerdyke, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 13279 N Cleveland Ave, North Fort Myers, FL 33903
Phone: 239-652-4111    Fax: 239-652-4105
Laura Ann Sieben, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3434 Hancock Bridge Pkwy, North Fort Myers, FL 33903
Phone: 877-856-3774    Fax: 239-599-2612
Raisa Diaz Guerrero,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1129 Travis Ave, North Fort Myers, FL 33903
Phone: 239-308-3051    
Robert A Marrero, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 535 Pine Island Rd Ste M, North Fort Myers, FL 33903
Phone: 239-278-3600    Fax: 239-275-9159
Ms. Tracy Michelle Dzugan, MS,FNP,PMHNP-BC,APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 15201 N Cleveland Ave Ste 1010, North Fort Myers, FL 33903
Phone: 833-674-2500    Fax: 239-599-4126

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.