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MICAH J FORMAN ARNP
NPI 1689972192
Nurse Practitioner in Winter Park, FL

Active since March 08, 2011PECOS EnrolledAccepts Medicare Assignment
4100 METRIC DR, SUITE 200, WINTER PARK, FL 32792(407) 681-8720(407) 681-8729 Get Directions Write a Review

NPPES record last updated: March 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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, is affiliated with Baptist Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1689972192
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMICAH J FORMANCredential: ARNP
Location Address4100 METRIC DR, SUITE 200Winter Park, FL 32792-6837
Mailing Address807 S Orlando Ave, Suite CWinter Park, FL 32789-4870 · (407) 894-4693 · Fax (407) 261-3869
Phone(407) 681-8720
Fax(407) 681-8729
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 8, 2011
✔ NPI 1689972192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · ARNP9169904
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4100 METRIC DR, Winter Park, FL 32792
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Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID6103000864
PECOS Enrollment IDI20110405000754
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.

Hospital Affiliations CMS Care Compare

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

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

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.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 4

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

ANASTACIA RODRIGUEZ
Licensed Practical Nurse
4100 METRIC DR
WINTER PARK, FL 32792
Orange County (407) 681-7600
JENNIFER M KELSEY ARNP
Nurse Practitioner
4100 METRIC DR, SUITE 200
WINTER PARK, FL 32792
Orange County (407) 681-8720
MARK A. LAGATTA M.D.
Internal Medicine (Nephrology)
4100 METRIC DR, SUITE 200
WINTER PARK, FL 32792
Orange County (407) 681-8720
TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
4100 METRIC DR, STE 200
WINTER PARK, FL 32792
Orange County (407) 681-8730

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.

Is Micah Forman affiliated with any hospitals?

According to CMS data, Micah Forman is affiliated with Baptist Hospital.

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.