Individual provider Active NPI

Ambre E Flanders, MS, PAC

  • Medical Physician Assistant
  • McMinnville, TN
National Provider Identifier
1356473565
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
856 Issued in TN
Practice address
159 Omni Dr Ste 1
McMinnville, TN 37110-0303
Phone
(931) 815-8800
Fax
(931) 815-8808
NPI assigned
Mar 12, 2007
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 856 TN Primary

Addresses

Primary practice location

159 Omni Dr Ste 1
McMinnville, TN 37110-0303

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Other practice location 1

800 Sparta St
McMinnville, TN 37110-2632
Phone (970) 376-7424

Other identifiers 1

IdentifierTypeStateIssuer
856OtherTNSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151204001579 TN Practitioner - Physician Assistant 3870693518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

159 Omni Dr
Suite 1
McMinnville, TN 37110-0303
Phone (931) 815-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
856TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Twelvestone Infusion Centers LLC CurrentSince Nov 13, 2017 Accepting new patients
Journeypure Multispecialty Group LLC Past Accepting new patients

Locations

352 W Northfield Blvd
Ste 4C
Murfreesboro, TN 37129
Phone (615) 895-6977

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1356473565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018",
            "fax_number": "615-851-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 OMNI DR STE 1",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371100303",
            "telephone_number": "931-815-8800",
            "fax_number": "931-815-8808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Sparta St",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "TN",
            "postal_code": "371102632",
            "country_code": "US",
            "telephone_number": "970-376-7424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLANDERS",
        "first_name": "AMBRE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MS, PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "856",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, TN

Sources for this page

Verify at the official NPI Registry.