AMBER FORD
NPI 1114238797
Nurse Practitioner - Family in Fortuna, CA

Q: What is Amber Ford's NPI number?

The NPI number for Amber Ford is 1114238797. It was assigned to this individual provider in the NPPES registry on June 29, 2010.

Q: What is Amber Ford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Amber Ford was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 29, 2010PECOS EnrolledAccepts Medicare Assignment

3302 RENNER DR, FORTUNA, CA 95540(707) 725-3318(707) 725-1998 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Amber Ford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMBER FORD (NPI 1114238797) is an individual family provider in Fortuna, California, licensed in California (95029240) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1114238797

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMBER FORD

Location Address3302 RENNER DRFortuna, CA 95540-7103

Mailing Address720 Wood StEureka, CA 95501-4413 · (707) 268-2990

Phone(707) 725-3318

Fax(707) 725-1998

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJune 29, 2010

Last NPPES UpdateSeptember 4, 2024

NPPES CertifiedSeptember 4, 2024

✔ NPI 1114238797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95029240

Also ListedCommunity Health WorkerTaxonomy 172V00000X

3302 RENNER DR, Fortuna, CA 95540

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amber Ford is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729428420

PECOS Enrollment IDI20240806002012

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95540 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHNNY KEITH COLEMAN P.A.-C.

Nurse Practitioner (Primary Care)