Nicole Fornalik, PA-C
NPI 1982635587 · Physician Assistant · Indianapolis, IN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Fornalik, PA-C is a Physician Assistant provider in Indianapolis, IN (NPI 1982635587).
Provider details
- NPI number
- 1982635587
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 10000784A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
19 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 19 | $13 |
Typical Medicare-allowed amounts for these services range $13–$13 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$239 across 8 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 5340 Holy Cross PkwyMishawaka, IN 46545-1470Phone: (574) 237-1328Fax: (574) 237-1348
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2025-07-15
- Certified
- 2025-07-15
Frequently asked questions
- What is Nicole Fornalik's NPI number?
- Nicole Fornalik's National Provider Identifier (NPI) is 1982635587, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Fornalik's specialty?
- Nicole Fornalik is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nicole Fornalik located?
- Nicole Fornalik's practice location on file with NPPES is 8040 Clearvista Pkwy Ste 490, Indianapolis, IN 46256-5604.
- What is Nicole Fornalik's phone number?
- The practice phone number listed in the NPPES registry for Nicole Fornalik is (317) 621-5450.
- Does Nicole Fornalik accept Medicare?
- Nicole Fornalik is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Fornalik's NPI active?
- Yes — Nicole Fornalik's NPI (1982635587) is active in the NPPES registry as of the last update on 2025-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.