GUSTAVO ADOLFO MATHIEU FORNET ARNP FNP-BC NPI 1245698471

NPI Information

  • NPI: 1245698471
  • Provider Name: GUSTAVO ADOLFO MATHIEU FORNET, ARNP, FNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1400 E OAKLAND PARK BLVD
    STE 210
    OAKLAND PARK, FL
    ZIP 33334
  • Phone: (954) 561-6222

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NPI Details

Gustavo Adolfo Mathieu Fornet, ARNP, FNP-BC is a psychiatric/mental health nurse practitioner in Oakland Park, FL with 8 years of experience. Gustavo Adolfo Mathieu Fornet, ARNP, FNP-BC NPI is 1245698471. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2017

The provider's business location address is:

1400 E OAKLAND PARK BLVD
STE 210
OAKLAND PARK, FL
ZIP 33334-400
Phone: (954) 561-6222
Fax: (954) 990-7650

The NPI 1245698471 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Psychotherapy with evaluation and management visit, 30 minutes (HCPCS:90833)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)

The enumeration date for this NPI number is 2/2/2016 and was last updated on 9/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyARNP9345457FLORIDANo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthARNP9345457FLORIDANo
3363LP0808XNurse PractitionerPsychiatric/Mental Health6102MINNESOTANo
4363LP0808XNurse PractitionerPsychiatric/Mental Health202209936NP-PPOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1016913200MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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