Nicole Leigh Fornalik, PA-C
Physician Assistant · Indianapolis, IN
Nicole Leigh Fornalik, PA-C is a physician assistant with a practice address in Indianapolis, Indiana, and NPI 1982635587, issued on Jul 5, 2006. Check the license (Indiana 10000784A, as entered in NPPES) with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Nicole Leigh Fornalik
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 10000784A IN
Self-reported in NPPES; status is on the state search - Practice location
- 8040 Clearvista Pkwy Ste 490, Indianapolis, IN 46256
- Phone
- (317) 621-5450
- Enumerated
- Jul 5, 2006
- Record last updated
- Jul 15, 2025
- Fax
- (317) 621-5453
- Medicaid ID
- 300007442 IN
- Medicare enrollment
- Enrolled (PECOS I20060929000360); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 2,419 in Indiana → Look up another NPI →
Also registered at 8040 Clearvista Pkwy Ste 490
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Brittany Ziolkowski, NPFamily Nurse Practitioner1124582614
Verify Nicole Leigh Fornalik in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this profession
Search for license 10000784ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
96% fewer Medicare Part D claims than the average physician assistant in 2024
32 Medicare Part D claims for 18 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $239.46
8 payments; by number, the most common kind was food and beverage; the largest payer was Tactile Systems Technology Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Community Physicians OF Indiana IncIndianapolis, IN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Nicole Leigh Fornalik among 2,419 physician assistant records in Indiana
Nicole Leigh Fornalik, PA-C is one of 2,419 physician assistant records with a practice address in Indiana. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 3% of them.
- NPI issued2006 · 3% of these records are older, 88% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 70% of these records are
- Graduated2003 · median 2019 among the 1,700 with a school on file
- Record last updated2025 · 25% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
713 physician assistant records list a practice address in Indianapolis
They are 713 of the 30,493 NPPES records with a practice address in Indianapolis, and 2,419 physician assistant records in Indiana.
All 2,419 in Indiana → Every provider in Indianapolis → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Nicole Antao, PAIndianapolis, IN 462561942450986
- Stephanie Bingel, MPASIndianapolis, IN 462561902116247
- Jerica Brodhead, PA-CIndianapolis, IN 462561043504285
- Jill Eleftheri, PA-CIndianapolis, IN 462561467431643
- Casey Feher, PAIndianapolis, IN 462561003861717
- Jeffrey Goodale, PA-CIndianapolis, IN 462561770514689
- Lindsay Johnson, PACIndianapolis, IN 462561285820878
- Tamara Mosier, PAIndianapolis, IN 462561982855615
Common questions
What is Nicole Leigh Fornalik, PA-C's NPI number?
Nicole Leigh Fornalik, PA-C's National Provider Identifier (NPI) is 1982635587, issued on Jul 5, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Nicole Leigh Fornalik, PA-C located?
The NPPES record lists a practice address at 8040 Clearvista Pkwy Ste 490, Indianapolis, IN, 46256. Phone: (317) 621-5450. Providers update this record themselves, so call before visiting.
How can I verify Nicole Leigh Fornalik, PA-C's license?
NPPES lists Indiana license number 10000784A, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.
How much does Nicole Leigh Fornalik, PA-C prescribe under Medicare Part D?
In 2024, Nicole Leigh Fornalik, PA-C had 32 Medicare Part D claims for 18 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.