Micah J. Forman, ARNP
- Hospital affiliations
- 1
- Medical groups
- 7
- State license
- 1
- Year NPI issued
- 2011
- Practice address
- 900 E Hamilton Ave, Campbell, CA 95008
- Practice phone
- Call (469) 466-7007
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Signify Health
Campbell, California
Find Micah Forman's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Micah J. Forman is a nurse practitioner in Campbell, California
Micah Forman practices at Signify Health in Campbell, California.
Micah Forman's NPI, 1689972192, was assigned on March 8, 2011. Micah Forman holds Florida license ARNP9169904.
- NPI
- 1689972192NPI Registry (opens in a new tab)
- Medicare PAC ID
- 6103000864
- NPI enumeration date
- March 8, 2011
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (469) 466-7007
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 42
- Medical school graduation
- 2010
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Micah J. Forman practices at Signify Health in Campbell, California
Micah Forman's primary practice is Signify Health, at 900 E Hamilton Ave, Campbell, CA 95008 in Santa Clara County. The practice phone is (469) 466-7007.
- Signify Health900 E Hamilton Ave, Campbell, CA 95008 · Santa Clara CountyPhone(469) 466-7007
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Micah J. Forman is affiliated with 3 sites of care and 7 medical groups
Micah Forman's primary practice is Signify Health in Campbell, California. Micah Forman is also affiliated with Baptist Hospital. The medical group on file is Signify Health. Dmand AI also links Micah Forman to 6 more medical groups and 1 group practice or clinic, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Micah J. Forman's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Micah Forman practices, 2 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Signify Health | Available with a free account |
| +2 more sites and 6 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Micah J. Forman is one of 5,983 nurse practitioners in California
Nurse practitioner is Micah Forman's primary specialty in the NPI Registry, under taxonomy code 363L00000X. Micah Forman is licensed in Florida.
Specialties and state licenses
- Nurse practitioner, FloridaPrimary
Nurse practitioners near Micah Forman
Counts of nurse practitioners with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Micah J. Forman's patients have a median age of 73
Across all payers, Dmand AI patient panel data puts Micah Forman's median patient age at 73, with 54% women.
Micah Forman's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 73
Patient panel by sex, all payers
- Women54%
- Men46%
Source: Dmand AI Patient Panel Data
How Micah J. Forman takes part in Medicare
Micah Forman accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Micah J. Forman's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Micah J. Forman
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Micah J. Forman's NPI number?
Micah J. Forman's NPI number is 1689972192. It was assigned on March 8, 2011, and it is active in the NPI Registry.
What does Micah J. Forman specialize in?
Micah J. Forman is a nurse practitioner in Campbell, California. The primary specialty in the NPI Registry is Nurse Practitioner (taxonomy code 363L00000X).
Where does Micah J. Forman practice?
Micah Forman practices at 900 E Hamilton Ave, Campbell, CA 95008. Micah Forman's primary practice is Signify Health in Campbell, California. Dmand AI also links Micah Forman to 6 medical groups and 1 group practice or clinic.
What is Micah J. Forman's office phone number?
The practice phone on file for Micah Forman is (469) 466-7007.
What is Micah J. Forman's medical license number?
Micah Forman holds Florida license ARNP9169904.
Which hospitals is Micah J. Forman affiliated with?
Micah Forman is affiliated with Baptist Hospital.
What medical group is Micah J. Forman part of?
Micah Forman is linked to Signify Health. Dmand AI links Micah Forman to 6 more medical groups.
Does Micah J. Forman accept Medicare?
Yes. CMS lists Micah Forman as accepting Medicare assignment.
How long has Micah J. Forman been practicing?
Micah Forman graduated from medical school in 2010, 16 years ago.
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