Nicole Renee Fornari, FNP-C in Valparaiso, IN

Nicole Renee Fornari, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Valparaiso, Indiana. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 483 High Meadow Cir, Valparaiso, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 688-1292.

Nicole Renee Fornari is licensed to practice in Indiana (license number 71008736A) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1265997332.

Contact Information

	Nicole Renee Fornari, FNP-C
	483 High Meadow Cir, Valparaiso, IN 46383-9741
	(219) 688-1292
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Renee Fornari
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	483 High Meadow Cir, Valparaiso, Indiana
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for 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: 08/21/2025

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

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 483 High Meadow Cir, Valparaiso, IN 46383-9741 Ph: (219) 688-1292	Nicole Renee Fornari, FNP-C 483 High Meadow Cir, Valparaiso, IN 46383-9741 Ph: (219) 688-1292

Reviews and Comments

Nurse Practitioner Nurses in Valparaiso, IN

Elizabeth Victoria Moerman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 Lincolnway, Valparaiso, IN 46383 Phone: 219-247-4003 Fax: 574-203-9702
James Brown, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 80 Foxwood Ct, Valparaiso, IN 46385 Phone: 219-241-5526 Fax: 219-777-9992
Asha Koshy, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Sturdy Rd, Valparaiso, IN 46383 Phone: 219-462-7173 Fax: 219-462-7504
Kathleen Decorte, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2802 Leonard Dr, Valparaiso, IN 46383 Phone: 219-531-5855 Fax: 219-531-1617
Ms. Chrysanthemum M Davis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 South Sturdy Rd., Valparaiso, IN 46383 Phone: 219-531-0200 Fax: 219-531-0045
Frances Denean Laka, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1805 Calumet Ave, Valparaiso, IN 46383 Phone: 574-215-1039
Mrs. Karla Joann Hanson, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 Roosevelt Rd Bldg A, Valparaiso, IN 46383 Phone: 219-263-7240

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