1. Home
  2. Directory
  3. Kentucky
  4. Lexington
  5. Nurse Practitioner
  6. NPI Profile

JOHNNA FORMAN APRN
NPI 1265804900
Nurse Practitioner - Acute Care in Lexington, KY

Active since October 21, 2015PECOS Enrolled
800 ROSE ST FL 4, LEXINGTON, KY 40536(859) 218-2581(859) 257-1632 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 15, 2023, Sep 11, 2018, May 8, 2017 (3 updates tracked since 2017).

About Johnna Forman Aprn NPPES

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

JOHNNA FORMAN APRN (NPI 1265804900) is an individual acute care provider in Lexington, Kentucky, licensed in Kentucky (3011059) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265804900
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJOHNNA FORMANCredential: APRN
Location Address800 ROSE ST FL 4Lexington, KY 40536-7001
Mailing Address138 Leader Ave, Rm 252Lexington, KY 40508-3215 · (859) 323-5962 · Fax (859) 323-3499
Phone(859) 218-2581
Fax(859) 257-1632
Sole ProprietorNo
Enumeration DateOctober 21, 2015
Last NPPES UpdateJune 15, 20233 updates tracked since enumeration
NPPES CertifiedJune 15, 2023
✔ NPI 1265804900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in KY · 3011059
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 3011059 (KY)
Also ListedNurse Practitioner · Pediatrics, Critical CareTaxonomy 363LP0222X · License 3011059 (KY)
800 ROSE ST FL 4, Lexington, KY 40536
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johnna Forman Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

VINCENT GOUGE MD
Pediatrics
800 ROSE ST FL 4
LEXINGTON, KY 40536
Fayette County (859) 218-2581
KELSEY WAGLER
Nurse Practitioner (Acute Care)
800 ROSE ST FL 4
LEXINGTON, KY 40536
Fayette County (859) 257-4554
RANJIT PRAKASH TORGALKAR MD
Pediatrics (Neonatal-Perinatal Medicine)
800 ROSE ST FL 4
LEXINGTON, KY 40536
Fayette County (859) 562-1085
MRS. AMY M WALLACE APRN, NNP-BC
Nurse Practitioner (Neonatal)
800 ROSE ST FL 4
LEXINGTON, KY 40536
Fayette County (859) 218-2581
HANNAH MCATEE MD
Pediatrics (Hospice and Palliative Medicine)
800 ROSE ST FL 4
LEXINGTON, KY 40536
Fayette County (859) 218-2581
FAIZA HASSAN MD
Pediatrics
800 ROSE ST FL 4
LEXINGTON, KY 40536
Fayette County (859) 218-2581
DR. KASHIF SHAKEEL DIN MD
Student in an Organized Health Care Education/Training Program
800 ROSE ST FL 4
LEXINGTON, KY 40536
Fayette County (859) 323-5000
JULIE TOKATLIAN DDS
Dentist (Periodontics)
800 ROSE ST FL 4
LEXINGTON, KY 40536
Fayette County (859) 323-6193

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnna Forman's NPI number?

The NPI number for Johnna Forman is 1265804900. It was assigned to this individual provider in the NPPES registry on October 21, 2015.

Where is Johnna Forman located?

Johnna Forman practices at 800 Rose St Fl 4, Lexington, KY 40536. The listed phone number is (859) 218-2581.

What is Johnna Forman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Johnna Forman enrolled in Medicare?

Yes. Johnna Forman is registered in the Medicare PECOS enrollment system.

What insurance does Johnna Forman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Johnna Forman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Johnna Forman was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.