Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kellie Jean Amador, MSN

Individual provider Registered Nurse · NPI 1164477683

Kellie Jean Amador, MSN is a Nurse Practitioner in Modesto, California. Qualified in 2004, 22 years ago. Practices with Pleasanton Emergency Medical Group, a 38-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

1441 Florida Ave
Modesto, CA 95350
Phone: (209) 578-1211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 14991 (CA)
Registered Nurse Taxonomy 163W00000X · Licence RN538124 (CA)

Record details

NPI number1164477683
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN
Sole proprietorNo
NPI enumeratedMay 23, 2006
Last updated in NPPESSeptember 21, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Pleasanton Emergency Medical Group — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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