Nicole Renee Fornari, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71008736A Issued in IN

Practice address

1101 Glendale Blvd Ste 103
Valparaiso, IN 46383-3769

Phone

(219) 510-8888

Fax

(833) 941-2562

NPI assigned

Feb 4, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrated Body and Medicine, PC

  • General Practice Physician
  • Highland, IN
  • NPI 1407404569
  Medicare reassignment NPD
• Visiting Nurse Association of Porter County, Indiana, Inc.

  • Home Health Agency
  • Valparaiso, IN
  • NPI 1144250515
  Medicare reassignment NPD
• Visiting Nurse Association of Porter County, Indiana, Inc.

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Valparaiso, IN
  • NPI 1891150934
  NPD
• Kennedy Avenue Chiropractic

  • Chiropractor
  • Highland, IN
  • NPI 1538635214
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1265997332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 GLENDALE BLVD STE 103",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833769",
            "telephone_number": "219-510-8888",
            "fax_number": "833-941-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GLENDALE BLVD STE 103",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833769",
            "telephone_number": "219-510-8888",
            "fax_number": "833-941-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNARI",
        "first_name": "NICOLE",
        "middle_name": "RENEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008736A",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71008736A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• For His Praise Home Health Care Services, LLC
• For His Praise Home Health Services LLC
• Hannah Ford-Reid
• Stephanie Drazer Ford, APRN
• James M Forde, M.D.
• Kylie Nicole Foster, LSW
• Michael Foster, DMD
• Cassidy Renee Fowler
• Jessica Fox
• Arianna Francis

• Family Nurse Practitioner in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.