North Coast Family Health Center

Ilona Horton

Ilona Horton, Practice Administrator


Ilona Horton, who has some 15 years of clinic management experience, joined North Coast Family Health Center in 2013 as practice administrator. In this position she manages 25-30 employees who support primary care physicians, surgeons, nurse practitioners, and other providers.

Proud of her support staff that consistently scores around 98 percent in patient satisfaction surveys, one of her near-term goals is recruiting several new providers in order to offer the community greater access to care.



A Team Approach

The best kind of rural healthcare system is one that provides comprehensive primary care with access to specialists and onsite support services such as lab, X-ray and physical therapy. Even better is a system that gives medical providers one-click computer access to test results. We do both.

Located on the MCDH campus, Family Health Center gives patients easy access – a short walk across the parking lot – to the lab, diagnostic imaging, and physical therapy services.

The North Coast Family Health Center is located in at 721 River Drive, on the south side of Fort Bragg, CA. The clinic is adjacent to Mendocino Coast Hospital.

Phone Numbers: Suite A: 707-961-4631. Suite B: 707-964-6910. Suite C: 707-961-4995


From the south, proceed north on Highway One to Fort Bragg, turn right on Cypress Street (the first stop light after crossing the Noyo Bridge). Drive two blocks to the hospital campus — across from the Redwood Health Club — make a right on River Drive and follow the signs to the North Coast Family Health Center on the right. The Health Center is on the west side of the Hospital Campus.

From the north, on Main Street (Highway One) in Fort Bragg, turn left on Cypress Street. When you see the Redwood Health club, turn right onto River Drive, and the clinic is on your right.

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Appointments: 707-961-4631

John Cottle, D.O.

Specialty: Osteopathic Manual Therapy
Medical School: Oklahoma State University Health Science Center
Residency: South Bend Osteopathic Hospital
Board Certification: Osteopathic Board of General Practice

Jennifer Kreger, M.D.

Jennifer Kreger, M.D.Specialty: Family Practice
Medical School: University of California, San Francisco
Residency: Stanislaus Medical Center
Board Certification: American Board of Family Practice

Jason Kirkman, M.D.

Dr. Jason Kirkman, Internal Medicine

Specialty: Internal Medicine
Medical School: University of California, San Diego
Residency: Rush Presbyterian – St. Luke’s, Chicago
Board Certifications: American Board of Internal Medicine, National Board of Echocardiography



Appointments: 707-961-4631 or 961-4634

Jack Bellah, M.D.

Dr. Bellah
Specialty: Orthopedic Surgery
Medical School: Mt. Sinai School of Medicine, New York
Board Certification: American Board of Orthopaedic Surgery

Linda K. James, M.D.

Specialty: General Surgery
Medical School: University of Miami
Residency: Brooke Army Medical Center; Madigan Army Medical Center
Board Certification: American Board of Surgery

Doug Lister, D.P.M.

Doug Lister, D.P.M.Specialty: Podiatry
Medical School: California College of Podiatric Medicine
Residency: Northlake Regional Medical Center
Board Certification: American Board of Podiatric Surgery


Kevin Miller, M.D.

Dr. Kevin Miller, Ophtalmologist at North Coast Family Health Center, Fort Bragg, Califoring
Specialty: Ophthalmology
Medical School: Tufts University, Boston, Mass.
Fellowship: Children’s Hospital Los Angeles
Internship: University of Texas, Galveston
Residency: University of Texas, Galveston
Board Certification: American Board of Ophthalmology

Michael N. Murphy, M.D., F.A.C.P., F.A.S.N.

Dr. Michael Murphy, Nephrologist, North Coast Family Health CenterSpecialty: Nephrology
Medical School: Ross University School of Medicine, Roseau, Dominica
Fellowship: Maine Medical Center, Portland, ME
Residency: Danbury Hospital/Yale School of Medicine, Danbury/New Haven, CT
Board Certifications: American Board of Internal Medicine, Nephrology;
American Society of Diagnostic & Interventional Nephrology

James Swallow, M.D.

Swallow-WebSpecialty: Pacemaker checks

Medical School: University of Colorado Medical School
Residency: University of New Mexico
Board Certification: American Board of Internal Medicine

Appointments: 707-961-4631 or 961-4634.

Note: Our Nurse Practitioners cover a wide range of primary care needs, can write prescriptions and order diagnostic tests. They work in consultation with their supervising physicians to provide you the best care possible. Learn more about their training.

Sasha Graham, F.N.P.

Sasha Graham, FNPEarned her Masters degree in Nursing at Samuel Merritt College in Oakland, CA. Graham has been a Family Nurse Practitioner since 2001, and sees a wide variety of patients including family medicine, pediatrics, adolescent and women’s health.

Sharon Hunter, F.N.P.

NursePractitioners (2 of 3) copy 3Hunter earned her Masters degree in Nursing at Sonoma State University in CA. She has more than 15 years experience as a Family Nurse Practitioner, and more than 30 years experience as a nurse. Hunter has a loyal patient following and sees patients of all ages and medical conditions.

Marilyn Magoffin, F.N.P.

Marilyn received her CWOCN certification at Emory University, Atlanta Georgia in 1994 and her FNP at Sonoma State University in 2007. She works closely with your primary care provider or podiatrist to address problems with non healing wounds including leg ulcers, pressure ulcers and diabetic foot ulcers. She also assists people who have new or problematic ostomies and people with incontinence of urine or stool. She regularly consults with Mendocino Coast Home Health and sees inpatients at Mendocino Coast District Hospital by request.

Michele Tellier, F.N.P.

Michele TellierCompassionate and dependable healthcare professional with an impressive track record providing exceptional patient care in a broad range of settings.  Michele has been a charge nurse at Stanford and MCDH and primary care provider (for nine years) at Mendocino Coast Clinics. She specializes in care for the underserved and women’s health. In addition, Michele feels strongly that her patients must participate in their healthcare and the decisions guiding their care.

Kei Velazquez, C.N.M., N.P., M.S.N., R.N.

Kei Velazquez, CNM, NP, MSN, RNVelazquez earned her Masters Degrees in Nursing, Nurse Midwife/Nursing Midwifery from UC San Francisco in 2000. Following a brief job at a birthing clinic on the Texas/Mexico border, she returned to the Mendocino Coast where she grew up. Velazquez offers well-woman care on Tuesdays and Wednesdays at NCFHC. She is fluent in Spanish.



NCFHC Medical Director David Newell, MD, shows discusses the electronic medical record to a patient.

As part of an ongoing commitment to improve quality of care, physicians and nurse practitioners at North Coast Family Health Center (NCFHC) began April 23, 2013 using electronic health records (EHR) to record and monitor patient care.

“Our goal is to improve the quality of care provided,” says NCFHC Practice Administrator Ilona Horton. “In 2014, we will launch a portal where patients will be able to access their medical records online.”

The many advantages of using an EHR include the fact that patients often increase participation in their health care. The coordination of a patient’s care becomes more efficient with an EHR, and the speed of information traveling to pharmacies and other provider offices improves.  The EHR’s built-in alerts can help to identify abnormal lab results, potential medication interactions, and due dates for preventive care and immunizations.

Federal Legislation Stimulates EHR Adoption

Congress passed the Health Information Technology for Economic and Clinical Health Act (HITECH Act) to stimulate the adoption of electronic health records and supporting technology throughout the country. President Obama signed the HITECH legislation into law on February 17, 2009 as part of the American Recovery and Reinvestment Act of 2009 (ARRA), an economic stimulus bill.

Both the federal Medicare and California Medi-Cal programs offer financial incentives for adopting approved EHR technology and implementing its use.  So far, North Coast Family Health Center has received approximately $340,000 in government-funded incentives to pay for implementation of the multi-phase process to meet government EHR operability criteria.

Jim Burns talks about how he was cared for by Dr. Linda James.

John Cottle, D.O.


Specialty: Osteopathic Manual Therapy

Dr. Cottle has practiced family medicine for nearly 30 years with experience in all areas of primary care in addition to his training in the science of osteopathic medicine.

Medical Training:

Medical School: Oklahoma State University Health Science Center

Residency: South Bend Osteopathic Hospital

Board Certification: Osteopathic Board of General Practice

About Osteopathic Medicine
The nation’s approximately 63,000 fully licensed osteopathic physicians practice the entire scope of modern medicine, bringing a patient-centered, holistic, hands-on approach to diagnosing and treating illness and injury.

Today, more than 20 percent of medical students in the United States are training to be osteopathic physicians.

Osteopathic physicians can choose any specialty, prescribe drugs, perform surgeries, and practice medicine anywhere in the United States.

Osteopathic physicians bring the additional benefits of osteopathic manipulative techniques to diagnose and treat patients.

Osteopathic physicians work in partnership with patients to help them achieve a high level of wellness by focusing on health education, injury prevention, and disease prevention.



The national average among thousands of hospitals and clinics is 86.0%, compared to the 90.3% score received by employees at North Coast Family Health Center. “Our staff provides great service to our patients,” says Ilona Horton, Practice Administrator. “They care about our patients and work closely together to help provide the best care possible. This team spirit is one reason we have such a low staff turnover.”

Patient SAT Scores_2014-01

Patient SAT Scores_2014-02

This information from

Preventive Visit and Yearly Wellness Exams

How often is it covered?

Medicare Part B (Medical Insurance) covers:

  • A “Welcome to Medicare” preventive visit: You can get this introductory visit only within the first 12 months you have Part B. This visit includes a review of your medical and social history related to your health and education and counseling about preventive services, including certain screenings, shots, and referrals for other care, if needed. It also includes:

This visit is covered one time. You don’t need to have this visit to be covered for yearly “Wellness” visits.

  • Yearly “Wellness” visits: If you’ve had Part B for longer than 12 months, you can get this visit to develop or update a personalized prevention help plan to prevent disease and disability based on your current health and risk factors. Your provider will ask you to fill out a questionnaire, called a “Health Risk Assessment,” as part of this visit. Answering these questions can help you and your provider develop a personalized prevention plan to help you stay healthy and get the most out of your visit. It also includes:
    • A review of your medical and family history
    • Developing or updating a list of current providers and prescriptions
    • Height, weight, blood pressure, and other routine measurements
    • Detection of any cognitive impairment
    • Personalized health advice
    • A list of risk factors and treatment options for you
    • A screening schedule (like a checklist) for appropriate preventive services. Get details about coverage for screenings, shots, and other preventive services.

This visit is covered once every 12 months (11 full months must have passed since the last visit).