MRS. DANA CHRISTINE FORMAN N.P.
NPI 1942745252
Nurse Practitioner - Adult Health in Troy, MI
About Mrs. Dana Christine Forman N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DANA CHRISTINE FORMAN N.P. (NPI 1942745252) is an individual adult health provider in Troy, Michigan, licensed in Michigan (4704267480) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Mrs. Dana Christine Forman N.p. 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 Dana Forman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Seattle, WA 98104
- Reassigned Medicare billing, Michigan enrollment
- 9 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 48084 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TROY, MI 48084
TROY, MI 48084
TROY, MI 48084
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 Dana Forman's NPI number?
The NPI number for Dana Forman is 1942745252. It was assigned to this individual provider in the NPPES registry on December 21, 2016.
Where is Dana Forman located?
Dana Forman practices at 3310 W Big Beaver Rd #137, Troy, MI 48084. The listed phone number is (248) 792-5200.
What is Dana Forman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Dana Forman enrolled in Medicare?
Yes. Dana 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 organization bills Medicare for Dana Forman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dana Forman reassigns Medicare benefits to Bicycle Health Medical Group PA (Seattle, WA). 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 Dana Forman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dana Forman accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Dana 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 Dana Forman was last updated on December 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Mrs. Dana Christine Forman, N.P. · NPI 1942745252
Adult Health physician in Troy, Michigan. Individual provider, active in the CMS NPPES registry since December 21, 2016.
## Identity
- **NPI:** 1942745252 (Entity type: Individual)
- **Enumerated:** December 21, 2016
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 4704267480 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3310 W BIG BEAVER RD, #137, Troy, MI 48084-2809
- **Phone:** (248) 792-5200
## 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:** Bicycle Health Medical Group PA (NPI 1194342162, Seattle, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** December 21, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1942745252) · Data from the CMS NPPES public registry.