GUSTAVO ADOLFO MATHIEU FORNET (ARNP, FNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1245698471
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,243 NURSE PRACTITIONER in FL
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Provider Addresses for GUSTAVO ADOLFO MATHIEU FORNET (ARNP, FNP-BC)
1400, East Oakland Park Boulevard, Coral Woods, Oakland Park, Broward County, Florida, 33334, United States
STE 210
OAKLAND PARK, FL 333344400
Phone: (954) 561-6222
Fax: (954) 990-7650
Type: Location
1400 E Oakland Park Blvd
Ste 210
Oakland Park, FL 333344400
Phone: (954) 561-6222
Fax: (954) 990-7650
Type: Location
7002 RIVERBROOK DR STE 900F
SUGAR LAND, TX 774796531
Phone: (281) 721-4181
Fax: (409) 245-0750
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-04-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181030001305 | I | Nurse Practitioner | TX | TBD |
| I20200429001468 | I | Nurse Practitioner | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 327 | 147 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 193 | 114 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 106 | 89 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 67 | 48 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 43 | 41 | $0 |
Insurance plans in this area (ZIP 33334)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Family Practice | MN | |
| Internal Medicine | NC | |
| Physician Assistant | NY | |
| Addiction Medicine, Family Practice | MN | |
| Addiction Medicine, Family Practice | MN |
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