Madelin Amir, NP

Individual provider Active NPI Registered Nurse · Eureka, CA

NPI 1083798698 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1083798698
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
397772 (CA)
Practice address
3225 Timberfall Court
Eureka, CA 95503
Phone
(707) 442-2961
Fax
(707) 445-2019
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
397772CAMDRegistered Nurse
9333CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Six Rivers Planned Parenthood Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 397772 CA Yes
Women's Health Nurse Practitioner 363LW0102X 9333 CA

Addresses

Primary practice location

3225 Timberfall Court
Eureka, CA 95503

Mailing address

3225 Timberfall Court
Eureka, CA 95503
Phone (707) 442-2961

Other providers in Eureka, CA

All providers in Eureka, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.