MICAH J FORMAN ARNP
NPI 1689972192
Nurse Practitioner in Winter Park, FL
About Micah J Forman Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICAH J FORMAN ARNP (NPI 1689972192) is an individual nurse practitioner in Winter Park, Florida, licensed in Florida (ARNP9169904) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Micah J Forman Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
7Medicare enrollment records show Micah Forman reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gulf Breeze, FL 32561
- Reassigned Medicare billing, Florida enrollment
- 150 clinicians in this Medicare group
East Patchogue, NY 11772
- Reassigned Medicare billing, New York enrollment
- 640 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Hawaii and Maine enrollments
- 59 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Colorado, Montana and Tennessee enrollments
- 290 clinicians in this Medicare group
Wichita, KS 67202
- Reassigned Medicare billing, Kansas enrollment
- 260 clinicians in this Medicare group
Ellsworth, ME 04605
- Reassigned Medicare billing, Maine enrollment
- 99 clinicians in this Medicare group
Ellsworth, ME 04605
- Reassigned Medicare billing, Maine enrollment
- 85 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32792 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WINTER PARK, FL 32792
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 Micah Forman's NPI number?
The NPI number for Micah Forman is 1689972192. It was assigned to this individual provider in the NPPES registry on March 8, 2011.
Where is Micah Forman located?
Micah Forman practices at 4100 Metric Dr Suite 200, Winter Park, FL 32792. The listed phone number is (407) 681-8720.
What is Micah Forman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Micah Forman enrolled in Medicare?
Yes. Micah Forman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Micah Forman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Micah Forman reassigns Medicare benefits to 7 organizations: Pensacola Hospitalist Physicians, LLC (Gulf Breeze, FL), Cogent Medical Care PC (East Patchogue, NY), Signify Health, LLC (Dallas, TX), Signify Health Medical Associates, PLLC (Dallas, TX), Signify Health Medical Associates Of Kansas LLC (Wichita, KS) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Micah Forman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Micah Forman was last updated on March 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Micah J Forman, ARNP · NPI 1689972192
Nurse Practitioner physician in Winter Park, Florida. Individual provider, active in the CMS NPPES registry since March 8, 2011.
## Identity
- **NPI:** 1689972192 (Entity type: Individual)
- **Enumerated:** March 8, 2011
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** ARNP9169904 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4100 METRIC DR, SUITE 200, Winter Park, FL 32792-6837
- **Phone:** (407) 681-8720 · **Fax:** (407) 681-8729
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Pensacola Hospitalist Physicians, LLC (NPI 1578164497, Gulf Breeze, FL); Cogent Medical Care PC (NPI 1912941238, East Patchogue, NY); Signify Health, LLC (NPI 1689158487, Dallas, TX); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX); Signify Health Medical Associates Of Kansas LLC (NPI 1780261701, Wichita, KS); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** March 8, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1689972192) · Data from the CMS NPPES public registry.