SARAH NICOLE FORTNA MD
NPI 1194410670
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Q: What is Sarah Fortna's NPI number?

The NPI number for Sarah Fortna is 1194410670. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Q: What is Sarah Fortna's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Sarah Fortna was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 10, 2023PECOS Enrolled

1120 W MICHIGAN ST # CL630, INDIANAPOLIS, IN 46202(317) 278-2682 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sarah Nicole Fortna Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARAH NICOLE FORTNA MD (NPI 1194410670) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1194410670

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSARAH NICOLE FORTNACredential: MD

Location Address1120 W MICHIGAN ST # CL630Indianapolis, IN 46202-5209

Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 955-5000 · Fax (410) 500-4266

Phone(317) 278-2682

Sole ProprietorNo

Enumeration DateApril 10, 2023

Last NPPES UpdateJune 17, 2026

NPPES CertifiedJune 17, 2026

✔ NPI 1194410670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1120 W MICHIGAN ST # CL630, Indianapolis, IN 46202

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Secondary Practice Location 1

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 502-2037

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarah Nicole Fortna Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADISON OTT MD

Student in an Organized Health Care Education/Training Program