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

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: November 01, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Amber Ford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Joseph Health Northern California, LLC
Same address
Rural Health
3302 RENNER DR
Fortuna, CA 95540
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1043292303 (California)
  • 32 clinicians in this Medicare group
NPI 1194189654 (707) 725-3318

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
3302 RENNER DR
FORTUNA, CA 95540
Humboldt County (707) 725-3318
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC
Clinic/Center (Rural Health)
3302 RENNER DR
FORTUNA, CA 95540
Humboldt County (707) 725-3318
DANIEL ALAN HEYN MD
Family Medicine
3302 RENNER DR
FORTUNA, CA 95540
Humboldt County (707) 725-3318
PHILIP L OLKIN M.D.
Family Medicine
3302 RENNER DR
FORTUNA, CA 95540
Humboldt County (707) 725-3318
PHILIP L. OLKIN, M.D. AND C. RAY JONES, M.D.
Family Medicine
3302 RENNER DR
FORTUNA, CA 95540
Humboldt County (707) 725-3318
ANDREW ALLEN BILLINGS FNP
Nurse Practitioner (Primary Care)
3302 RENNER DR
FORTUNA, CA 95540
Humboldt County (707) 725-3318

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Amber Ford located?

Amber Ford practices at 3302 Renner Dr, Fortuna, CA 95540. The listed phone number is (707) 725-3318.

What is Amber Ford's specialty?

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

Is Amber Ford enrolled in Medicare?

Yes. Amber Ford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Amber Ford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amber Ford reassigns Medicare benefits to St. Joseph Health Northern California, LLC (Fortuna, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amber Ford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 2 years 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.