Tamara L Riess, NP – Adult Health Nurse Practitioner

Key facts

NPI: 1144281130
Entity type: Individual (NPI type 1)
Primary specialty: Adult Health Nurse Practitioner 363LA2200X
License: 71006906A (IN)
Practice address: 525 W Bristol St
Elkhart, IN 46514-2964
Phone: (574) 262-0239
Fax: (574) 262-8391
NPI assigned: Mar 29, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 3

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.

Beacon Medical Group, Inc. Family Medicine Physician · Mishawaka, IN · NPI 1033161617

Medicare reassignment Care Compare group IN
Beacon Medical Group, Inc. Family Medicine Physician · Lakeville, IN · NPI 1699727545

NPD (past)
Southwestern Medical Clinic PC Specialist · Niles, MI · NPI 1518022144

NPD (past)

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 1999
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Beacon Medical Group Inc (575 clinicians)

Practice addresses (Care Compare)

525 W Bristol St
BMG Sleep Medicine
Elkhart, IN 46514-2964
Phone (574) 262-0239

Medicare participation

Medicare fee-for-service enrollment: Enrolled in IN
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20170317002060	IN	Practitioner - Nurse Practitioner	3577466929	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Southwestern Medical Clinic PC		Past	Accepting new patients
Beacon Medical Group, Inc.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Adult Health Nurse Practitioner	363LA2200X	71006906A	IN	Yes

Addresses

Primary practice location

525 W Bristol St
Elkhart, IN 46514-2964

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-3725

Other identifiers

Identifier	Type	State	Issuer
300129298	Medicaid	IN

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	triess@mybeacon.cernerdirect.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 28, 2026.

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1144281130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR STE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380",
            "telephone_number": "574-647-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W BRISTOL ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142964",
            "telephone_number": "574-262-0239",
            "fax_number": "574-262-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIESS",
        "first_name": "TAMARA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71006906A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300129298",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "triess@mybeacon.cernerdirect.com",
            "affiliation": "N",
            "address_1": "6913 N Main St",
            "city": "Granger",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elkhart, IN

All providers in Elkhart, IN · Adult Health Nurse Practitioner in Indiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.