DR. KAYLA N FORNAL DNP, APRN, FNP-C
NPI 1710555123
Nurse Practitioner - Family in Venice, FL
About Dr. Kayla N Fornal Dnp, Aprn, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KAYLA N FORNAL DNP, APRN, FNP-C (NPI 1710555123) is an individual family provider in Venice, Florida, licensed in Florida (APRN11013641) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Dr. Kayla N Fornal Dnp, Aprn, Fnp-c 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 Reassignment
Medicare enrollment records show Kayla Fornal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Myers, FL 33912
- Reassigned Medicare billing, Florida enrollment
- 1,278 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.
Areas of Expertise CMS Part B claims 9
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sarasota Memorial Hospital
Acute Care Hospitals · Sarasota, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34285 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kayla Fornal's NPI number?
The NPI number for Kayla Fornal is 1710555123. It was assigned to this individual provider in the NPPES registry on June 12, 2021.
Where is Kayla Fornal located?
Kayla Fornal practices at 171 Center Rd, Venice, FL 34285. The listed phone number is (833) 674-2500.
What is Kayla Fornal's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kayla Fornal enrolled in Medicare?
Yes. Kayla Fornal 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 organization bills Medicare for Kayla Fornal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Fornal reassigns Medicare benefits to Millennium Physician Group LLC (Fort Myers, FL). The 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 Kayla Fornal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kayla Fornal affiliated with any hospitals?
According to CMS data, Kayla Fornal is affiliated with Sarasota Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Kayla Fornal was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. Kayla N Fornal, DNP, APRN, FNP-C · NPI 1710555123
Family physician in Venice, Florida. Individual provider, active in the CMS NPPES registry since June 12, 2021.
## Identity
- **NPI:** 1710555123 (Entity type: Individual)
- **Enumerated:** June 12, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN11013641 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 171 CENTER RD, Venice, FL 34285-5572
- **Phone:** (833) 674-2500 · **Fax:** (941) 764-8455
## 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:** Millennium Physician Group LLC (NPI 1811122880, Fort Myers, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** October 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1710555123) · Data from the CMS NPPES public registry.