NICOLE WALDMAN FORNERIS
NPI 1992599286
Student in an Organized Health Care Education/Training Program in La Crosse, WI

Q: What is Nicole Forneris's NPI number?

The NPI number for Nicole Forneris is 1992599286. It was assigned to this individual provider in the NPPES registry on April 9, 2025. The provider is also known as Nicole Tara Hirsch.

Q: What is Nicole Forneris's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Forneris was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since April 09, 2025PECOS Enrolled

1836 SOUTH AVE, LA CROSSE, WI 54601(608) 782-7300 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nicole Waldman Forneris NPPES

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

NICOLE WALDMAN FORNERIS (NPI 1992599286) is an individual student in an organized health care education/training program in La Crosse, Wisconsin and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992599286

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNICOLE WALDMAN FORNERIS

Location Address1836 SOUTH AVELa Crosse, WI 54601-5429

Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300

Phone(608) 782-7300

Sole ProprietorNo

Enumeration DateApril 9, 2025

NPPES CertifiedApril 9, 2025

✔ NPI 1992599286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1836 SOUTH AVE, La Crosse, WI 54601

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Other Names 1

Former Name (1)Nicole Tara Hirsch

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 Waldman Forneris is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

JEFFREY BRIAN TROHKIMOINEN M.D.

Anesthesiology

1836 SOUTH AVE, GUNDERSEN CLINIC, LTD.
LA CROSSE, WI 54601

La Crosse County (608) 775-2031

JESSICA E THESING CRNA

Nurse Anesthetist, Certified Registered