Active NPI
Mariel Bosserman, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Eureka, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95003971
- Practice address
- 100 H St Ste 212
Eureka, CA 95501-0481 - Phone
- (707) 390-0393
- Fax
- (707) 440-1524
- NPI assigned
- Jun 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 95003971 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95003971 | CA | Primary |
Addresses
Primary practice location
100 H St Ste 212
Eureka, CA 95501-0481
Mailing address
100 H St Ste 212
Eureka, CA 95501-0481
Phone (707) 390-0393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95003971 | CA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Door Community Health Centers | Current | Accepting new patients | |
| Open Door Community Health Centers | Current | Accepting new patients | |
| Humboldt Counseling Connection | Current | Accepting new patients | |
| Open Door Community Health Centers | Current | Accepting new patients | |
| Open Door Community Health Centers | Current | Accepting new patients | |
| Open Door Community Health Centers | Current | Accepting new patients |
Locations
785 18th St
Arcata, CA 95521
Phone (707) 822-2481
1275 8th St
Arcata, CA 95521
770 10th St
Arcata, CA 95521
Phone (707) 826-8610
550 E Washington Blvd
Crescent City, CA 95531
Phone (707) 465-4636
2200 Tydd St
Eureka, CA 95501
Phone (707) 269-7051
123 F St
Ste F
Eureka, CA 95501
Phone (707) 268-8007
310 F St
Eureka, CA 95501
Phone (707) 390-0393
1644 Central Ave
McKinleyville, CA 95519
Phone (707) 839-3068
Interoperability endpoints
- mariel.bossermanrnp.p1@direct.plannedparenthoodla.nextgenshare.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Crescent City, CA
- NPI 1497840656
-
- Mental Health Counselor
- Eureka, CA
- NPI 1184423386
-
- Federally Qualified Health Center (FQHC)
- Arcata, CA
- NPI 1255435533
-
- Federally Qualified Health Center (FQHC)
- McKinleyville, CA
- NPI 1598858169
-
- Federally Qualified Health Center (FQHC)
- Willow Creek, CA
- NPI 1730330739
-
- Federally Qualified Health Center (FQHC)
- Eureka, CA
- NPI 1831713452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1548610934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 H ST STE 212",
"city": "EUREKA",
"state": "CA",
"postal_code": "955010481",
"telephone_number": "707-390-0393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 H ST STE 212",
"city": "EUREKA",
"state": "CA",
"postal_code": "955010481",
"telephone_number": "707-390-0393",
"fax_number": "707-440-1524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSSERMAN",
"first_name": "MARIEL",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-15",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "95003971",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95003971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.