Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Micah J Forman, ARNP

Individual provider Nurse Practitioner · NPI 1689972192

Micah J Forman, ARNP is a Nurse Practitioner in Winter Park, Florida. Qualified in 2010, 16 years ago. Practices with Pensacola Hospitalist Physicians LLC, a 65-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
16
Licensed in
FL
In the registry since
2011
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

4100 Metric Dr Ste 200
Winter Park, FL 32792-6837
Phone: (407) 681-8720
Fax: (407) 681-8729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence ARNP9169904 (FL)

Record details

NPI number1689972192
Entity typeIndividual (Type 1)
GenderMale
Credentials ARNP
Sole proprietorYes
NPI enumeratedMarch 8, 2011
Last updated in NPPESMarch 8, 2011
Mailing address807 S Orlando Ave, Suite C, Winter Park, FL 32789-4870

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Pensacola Hospitalist Physicians Llc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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