ThermalTake makes a variety of fans for video cards. They make some that are direct replacements for all Geforce cards, you just have to choose the correct one, not very hard. They cost about $20 and will fix you right up. Yes, if you fan is making a lot of noise, its bearings are probably starting to go, and you should get a replacement asap.
ThermalTake
Looks like this will only show you products, you can't buy from there, you will have to look for a reseller. BTW, a Geforce 4 Ti 4200 is an NV-25 when your looking for your cooler.
edit: added link to website