Silicon in its nanoscale range offers versatile scope in biomedical, photovoltaic and solar cell applications. Due to its compatibility in integration with complex molecules owing to changes in charge density of as-fabricated SiNSs to realize label-free and real-time detection of certain biological and chemical species with certain biomolecules, it can be exploited as an indicator for ultra-sensitive and cost-effective biosensing applications in disease diagnosis. The morphological changes of SiNSs modified receptors (PNA, DNA etc) finds huge future scope in optimized sensitivity (due to conductance variations of SiNSs) of target biomolecules in health care applications. Further, due to unique optical and electrical properties of SiNSs realized using chemical etching technique, they can be used as an indicator for photovoltaic and solar cell applications. In this review, emphasis is done on different critical parameters that control the fabrication morphologies of SiNSs using metal assisted chemical etching technique (MACE) and its corresponding fabrication mechanisms focussing on numerous applications in energy storage and health care domains. The evolution of MACE as a low cost, easy process control, reproducibility and convenient fabrication mechanism makes it a highly reliable-process friendly technique employed in photovoltaic, energy storage and biomedical fields. Analysis of the experimental fabrication to obtain high aspect ratio SiNSs was carried out using iMAGE J software for understanding the role of surface to volume ratio in effective bacterial interfacing. Also, the role of Silicon nanomaterials has been discussed as effective anti-bacterial surfaces due to the presence of Silver investigated in the post fabrication Energy Dispersive X-Ray Spectroscopy (EDS) analysis using MACE.