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

Nicole Renee Fornari, FNP-C

Individual provider Family Nurse Practitioner · NPI 1265997332

Nicole Renee Fornari, FNP-C is a Nurse Practitioner in Valparaiso, Indiana. Qualified in 2018, 8 years ago. Licensed in Indiana.

Years since qualifying
8
Licensed in
IN
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1101 Glendale Blvd Ste 103
Valparaiso, IN 46383-3769
Phone: (219) 510-8888
Fax: (833) 941-2562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71008736A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 71008736A (IN)

Record details

NPI number1265997332
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 4, 2019
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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