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NICOLE RENEE FORNARI FNP-C
NPI 1265997332
Nurse Practitioner - Family in Valparaiso, IN

Active since February 04, 2019PECOS Enrolled
97.08/100
CMS Quality Rating
1101 GLENDALE BLVD STE 103, VALPARAISO, IN 46383(219) 510-8888(833) 941-2562 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2026, Jun 19, 2024, Aug 30, 2023 and 1 more (4 updates tracked since 2019).

About Nicole Renee Fornari Fnp-c NPPES

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

NICOLE RENEE FORNARI FNP-C (NPI 1265997332) is an individual family provider in Valparaiso, Indiana, licensed in Indiana (71008736A) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Franciscan Health Michigan City, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1265997332
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE RENEE FORNARICredential: FNP-C
Location Address1101 GLENDALE BLVD STE 103Valparaiso, IN 46383-3769
Mailing Address1101 Glendale Blvd Ste 103Valparaiso, IN 46383-3769 · (219) 510-8888 · Fax (833) 941-2562
Phone(219) 510-8888
Fax(833) 941-2562
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 4, 2019
Last NPPES UpdateMarch 11, 20264 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1265997332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71008736A
Also ListedNurse PractitionerTaxonomy 363L00000X · License 71008736A (IN)
1101 GLENDALE BLVD STE 103, Valparaiso, IN 46383
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Renee Fornari Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688083850
PECOS Enrollment IDI20210429002647
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
353 services198 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
125 services79 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
76 services71 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
58 services50 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
57 services55 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
28 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Franciscan Health Michigan City

Acute Care Hospitals · Michigan City, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150015
Location3500 Franciscan WayMichigan City, IN 46360 · La Porte County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46383 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.1
Promoting Interoperability99
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

MRS. LINDSEY LEANN SAMPLE MSN, AG-ACNP
Nurse Practitioner
1101 GLENDALE BLVD STE 103
VALPARAISO, IN 46383
Porter County (219) 464-9054
REBECCA SUE HERROLD-ENGSTROM MSN, FNP
Nurse Practitioner (Critical Care Medicine)
1101 GLENDALE BLVD STE 103
VALPARAISO, IN 46383
Porter County (219) 464-9054

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 Nicole Fornari's NPI number?

The NPI number for Nicole Fornari is 1265997332. It was assigned to this individual provider in the NPPES registry on February 4, 2019.

Where is Nicole Fornari located?

Nicole Fornari practices at 1101 Glendale Blvd Ste 103, Valparaiso, IN 46383. The listed phone number is (219) 510-8888.

What is Nicole Fornari's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Fornari enrolled in Medicare?

Yes. Nicole Fornari is registered in the Medicare PECOS enrollment system.

Is Nicole Fornari affiliated with any hospitals?

According to CMS data, Nicole Fornari is affiliated with Franciscan Health Michigan City.

When was this NPI record last updated?

The NPPES record for Nicole Fornari was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.