Nicole Leigh Fornalik, PA-C
Nicole Leigh Fornalik, PA-C is a Physician Assistant in Indianapolis, Indiana. Qualified in 2003, 23 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 23
- Licensed in
- IN
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
8040 Clearvista Pkwy Ste 490Indianapolis, IN 46256-5604
Phone: (317) 621-5450
Fax: (317) 621-5453
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 — (574) 237-1328
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 10000784A (IN) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence 10000784A (IN) |
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 10000784A (IN) |
Record details
| NPI number | 1982635587 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | July 5, 2006 |
| Last updated in NPPES | July 15, 2025 |
| Certification date | July 15, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2003 (23 years in practice) |
| Group practice | Community Physicians Of Indiana Inc — 1577 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 21 |
|---|---|
| Services billed | 70 |
| Average patient age | 72 |
Colleagues at Community Physicians of Indiana Inc
- Anne Marie Adams, MD Internal Medicine Physician · Indianapolis, IN
- Jared Anderson, MD Anesthesiology Physician · Anderson, IN
- Jigar Rajnikant Bhagatwala, MBBS Internal Medicine Physician · Indianapolis, IN
- Benjamin James Buszek, MD Student in an Organized Health Care Education/Training Program · Kokomo, IN
- Brenda Lee Carr-Vogelgesang, NP Registered Nurse · Indianapolis, IN
- John Freeland, CRNA Certified Registered Nurse Anesthetist · Indianapolis, IN
- Rana Fawzi Hawamdeh, MD Internal Medicine Physician · Indianapolis, IN
- Helen M Martin, CRNP Adult Health Nurse Practitioner · Fishers, IN
- Angela Palazzolo, MA, CCC-SLP Speech-Language Pathologist · Indianapolis, IN
- Laura E Sims, NP Family Nurse Practitioner · Bloomington, IN
- Dr. Connor Woodland, MD Internal Medicine Physician · Indianapolis, IN
- Mrs. Nicole Renee Zulkowski, MD Physical Medicine & Rehabilitation Physician · Indianapolis, IN
Other providers in Indianapolis
-
Catherine Fagan, MPAS, PA-C
8402 Harcourt Rd Ste 830, Indianapolis, IN 46260-2096 · (317) 338-8857
-
Sean Faughnan, PA-C
1801 N Senate Blvd Ste 535, Indianapolis, IN 46202-1204 · (317) 963-1950
-
Erika Leigh Felt, PA-C
1440 E County Line Rd Ste 1200, Indianapolis, IN 46227-0963 · (317) 621-4300
-
Mark D Flanders, PA
8433 Harcourt Rd Ste 100 Ste 100, Indianapolis, IN 46260-2193 · (317) 583-7600
-
Nicholas Foster, PA-C
8111 S Emerson Ave, Indianapolis, IN 46237-8601 · (317) 528-8014
-
Rebecca G Haviza, PA-C
1801 N Senate Blvd MPC2#3300, Indianapolis, IN 46202-1228 · (317) 923-1787
-
Katherine Keller
5203 Broadway St, Indianapolis, IN 46220-3135 · (317) 504-9911
-
Lauren Koehring, PA-C
8051 S Emerson Ave Ste 365, Indianapolis, IN 46237-0011 · (317) 851-2331