Nicole Renee Fornari, FNP-C in Michigan City, IN

Nicole Renee Fornari, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Michigan City, Indiana. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Franciscan Physician Network and her current practice location is 3500 Franciscan Way Ste 400, Michigan City, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 878-8200.

Nicole Renee Fornari is licensed to practice in Indiana (license number 71008736A) 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 1265997332.

Contact Information

	Nicole Renee Fornari, FNP-C
	3500 Franciscan Way Ste 400, Michigan City, IN 46360-0033
	(219) 878-8200
	(219) 878-8333

Map and Direction

Provider's Profile

Full Name	Nicole Renee Fornari
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	3500 Franciscan Way Ste 400, Michigan City, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole Renee Fornari graduated from nursing school in 2018

NPI Data:

NPI Number: 1265997332
Provider Enumeration Date: 02/04/2019
Last Update Date: 06/19/2024

Medicare PECOS Information:

PECOS PAC ID: 4688083850
Enrollment ID: I20210429002647

Medical Identifiers

Medical identifiers for Nicole Renee Fornari such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265997332	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71008736A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71008736A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Franciscan St Anthony Health - Michigan City	Michigan city, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Franciscan Physician Network	3072790682	983

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. Nicole Renee Fornari allows following entities to bill medicare on her behalf.

Entity Name	Franciscan Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486

Entity Name	Integrated Body And Medicine Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407404569 PECOS PAC ID: 7416366687 Enrollment ID: O20210429002599

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. Nicole Renee Fornari 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 Address	Practice Location Address
Nicole Renee Fornari, FNP-C Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800	Nicole Renee Fornari, FNP-C 3500 Franciscan Way Ste 400, Michigan City, IN 46360-0033 Ph: (219) 878-8200

Reviews and Comments

Nurse Practitioner Nurses in Michigan City, IN

Carol Lynn Parks, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 E Coolspring Ave, 2-e, Michigan City, IN 46360 Phone: 219-879-6531
Jason C Little, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3500 Franciscan Way, Michigan City, IN 46360 Phone: 219-879-8511 Fax: 219-877-2000
Donald Ernest Greer Jr., Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3500 Franciscan Way, Michigan City, IN 46360 Phone: 219-879-8511
Kaci Bauske, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8733 W 400 N, Michigan City, IN 46360 Phone: 219-831-8740 Fax: 219-877-1029
Nichole M Shultz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4111 Franklin St, Michigan City, IN 46360 Phone: 121-987-3291 Fax: 219-873-2909
Todd Noel Wolford, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10176 W 400 N Ste B, Michigan City, IN 46360 Phone: 219-809-9839 Fax: 219-809-9841
Kristen R Novak, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8865 W 400 N Ste 155, Michigan City, IN 46360 Phone: 219-872-6566

Nicole Renee Fornari, FNP-C - Medicare Nurse Practitioner in Michigan City, IN