Nicole Ann Forman, FNP - Medicare Nurse Practitioner in Stony Brook, NY

Nicole Ann Forman, FNP is a medicare enrolled "Nurse Practitioner - Family" in Stony Brook, New York. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Stony Brook Internists University Faculty Practice Corporation and her current practice location is 100 Nicolls Rd, Hsc 16-047, Stony Brook, New York. You can reach out to her office (for appointments etc.) via phone at (631) 444-3457.

Nicole Ann Forman is licensed to practice in New York (license number F357935) 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 1184570533.

Contact Information

Nicole Ann Forman, FNP
100 Nicolls Rd, Hsc 16-047,
Stony Brook, NY 11794
(631) 444-3457
Not Available

Map and Direction




Provider's Profile

Full NameNicole Ann Forman
GenderFemale
SpecialityNurse Practitioner
Experience1 Years
Location100 Nicolls Rd, Stony Brook, New York
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:
  • Nicole Ann Forman graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1184570533
  • Provider Enumeration Date: 03/09/2026
  • Last Update Date: 03/09/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4082184411
  • Enrollment ID: I20260527003195

Medical Identifiers

Medical identifiers for Nicole Ann Forman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184570533NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F357935 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Stony Brook Internists University Faculty Practice Corporation9133019821421

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 Ann Forman 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
Nicole Ann Forman, FNP
100 Nicolls Rd, Hsc 16-047,
Stony Brook, NY 11794

Ph: (631) 444-3457
Nicole Ann Forman, FNP
100 Nicolls Rd, Hsc 16-047,
Stony Brook, NY 11794

Ph: (631) 444-3457

Reviews and Comments


Nurse Practitioner Nurses in Stony Brook, NY

Mrs. Heather Marie Caligiuri, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794
Phone: 631-631-4449    
Mr. Sam Tarik Mendoune I, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794
Phone: 631-335-1657    
Kevin Ramdeen, AGPCNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794
Phone: 631-312-6354    
Ms. Marisa Ann Armstrong, NP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794
Phone: 631-689-8333    
Mrs. Patricia B Meyer, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1212 Route 25a, Stony Brook, NY 11790
Phone: 631-941-1388    Fax: 631-689-3993
Mrs. Marie Oquendo-miller, MSNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1 Stadium Road, Stony Brook, NY 11794
Phone: 631-632-6738    Fax: 631-632-6936
Mrs. Joanne M Camarda, PNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 101 Nicolls Rd Fl Hsc11, Stony Brook, NY 11794
Phone: 631-444-7720    Fax: 631-444-7865

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.