Ms. Nicole Leigh Fornalik
Physician Assistant in Goshen, Indiana
- MEDICARE CERTIFIED
- 21+ YEARS EXP
Overview
Ms. Nicole Leigh Fornalik, PA,PA-C, is a Physician Assistant specialist in Goshen, Indiana. She graduated in 2003, having over 21 years of diverse experience, especially in Physician Assistant. She is affiliated with many hospitals including Iu Health Goshen Hospital. Ms. Nicole Leigh Fornalik also cooperates with other doctors and physicians in medical groups including Goshen Health System Inc. Ms. Nicole Leigh Fornalik accepts Medicare-approved amount as payment in full. Call (574) 364-2888 to request Ms. Nicole Leigh Fornalik the information (Medicare information, advice, payment, ...) or simply to book an appointment.
Profile
Basics
Full Name |
Nicole Leigh Fornalik |
Former Name |
Nicole Leigh Flanders |
Gender |
Female |
PECOS ID |
8022917400 |
Sole Proprietor |
No - She does not own an unincorporated business by herself. |
Accepts Medicare Assignment |
She does accept the payment amount Medicare approves and not to bill you for more than the Medicare deductible and coinsurance. |
Medical Specialties
- Physician Assistant (primary specialty)
Experience
- Over 21 years of diverse experience
Credentials
- Physician Assistant (PA)
help Physician Assistant
Physician assistant, practice medicine on a team under the supervision of physicians and surgeons. They are formally educated to examine patients, diagnose injuries and illnesses, and provide treatment.
- Certificated Physician Assistant (PA-C)
help Certificated Physician Assistant
Physician assistant, practice medicine on a team under the supervision of physicians and surgeons. They are formally educated to examine patients, diagnose injuries and illnesses, and provide treatment.
Education and Training
- Ms. Nicole Leigh Fornalik graduated in 2003.
NPPES Info
- NPI #: 1982635587
- NPI Enumeration Date: Wednesday, July 5, 2006
- NPPES Last Update: Tuesday, January 5, 2016
Quality Reporting
-
eRx - She does not participate in the Medicare Electronic Prescribing (eRx) Incentive Program.
-
PQRS - She does report Quality Measures (PQRS). The Physician Quality Reporting System (PQRS) is a Medicare program encouraging health care professionals and group practices to report information on their quality of care. Quality measures can show how well a health care professional provides care to people with Medicare.
-
EHR - She does not use electronic health records (EHR). The Electronic Health Records (EHR) Incentive Program encourages health care professionals to use certified EHR technology in ways that may improve health care. Electronic health records are important because they may improve a health care professional's ability to make well-informed treatment decisions.
-
MHI - She does not commit to heart health through the Million Hearts initiative. Million Hearts is a national initiative that encourages health care professionals to report and perform well on activities related to heart health in an effort to prevent heart attacks and strokes.
-
MOC - She does not participate in the Medicare Maintenance of Certification Program. A "Maintenance of Certification Program" encourages board certified physicians to continue learning and self-evaluating throughout their medical career.
Language Spoken by Ms. Nicole Leigh Fornalik
Medical Licenses
Ms. Nicole Leigh Fornalik has been primarily specialized in Surgical Technologist for over 21 years of experience.
Specialization |
License Number |
Issued State |
- Physician Assistant / Surgical Technologist
| 10000784A | Indiana |
- Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant
click for detail Physician Assistant A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
| 10000784A | Indiana |
- Physician Assistant / Medical
| 10000784A | Indiana |
Affiliated Hospitals
Hospital Name |
Location |
Hospital Type |
Hospital Ownership |
| Goshen, Indiana | Acute Care Hospitals | Voluntary Non-Profit - Private |
Medical Group Practice
Doing Business As |
Legal Organization Name |
Number of members |
| Goshen Health System Inc | 110 |
Practice Locations
200 High Park Ave
Goshen, IN 46526-4810
Phone: (574) 364-2888
Fax: (574) 364-2890
Office Hours:
- Monday: 8:00 AM - 5:00 PM
- Tuesday: 8:00 AM - 5:00 PM
- Wednesday: 8:00 AM - 5:00 PM
- Thursday: 8:00 AM - 5:00 PM
- Friday: 8:00 AM - 5:00 PM
- Saturday: Closed
- Sunday: Closed
2014 S Main St
B
Goshen, IN 46526-5235
Phone: (574) 533-8639
Phone 2: (574) 534-6752
Office Hours:
- Monday: 8:00 AM - 5:00 PM
- Tuesday: 8:00 AM - 5:00 PM
- Wednesday: 8:00 AM - 5:00 PM
- Thursday: 8:00 AM - 5:00 PM
- Friday: 8:00 AM - 5:00 PM
- Saturday: Closed
- Sunday: Closed
This physician profile was updated by using the public dataset from Centers for Medicare and Medicaid Services (CMS) which is publicized on
Friday, November 17, 2017, and correspondent NPI information on the public NPPES record dated
Tuesday, January 5, 2016. If you found out that something incorrect and want to change it, please follow this
Update Data guide.
Contact Ms. Nicole Leigh Fornalik by phone: (574) 364-2888 for verification, detailed information, or booking an appointment before going to.
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Reviews
Ms. Nicole Leigh Fornalik [NPI: 1982635587]Physician Assistant