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

Pavel Prokopchuk

Individual provider Nurse Practitioner · NPI 1841952355

Pavel Prokopchuk is a Nurse Practitioner in Eureka, California. Qualified in 2021, 5 years ago. Practices with Open Door Community Health Centers, a 114-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

2200 Tydd St
Eureka, CA 95501-1284
Phone: (707) 269-7051
Fax: (707) 269-7054
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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 95018779 (CA)

Record details

NPI number1841952355
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 12, 2021
Last updated in NPPESJuly 18, 2023
Certification dateJuly 18, 2023
Mailing address1275 8th St, Arcata, CA 95521-5770

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Open Door Community Health Centers — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Eureka