Active NPI
Amber Tandeske, ANP
- Psychiatric/Mental Health Nurse Practitioner
- Eagle River, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NURU1444
- Practice address
- 11470 Business Blvd Ste 100
Eagle River, AK 99577-7780 - Phone
- (907) 689-3450
- NPI assigned
- May 30, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NURU1444 | AK | Primary |
Addresses
Primary practice location
11470 Business Blvd Ste 100
Eagle River, AK 99577-7780
Mailing address
PO Box 4105
Portland, OR 97208-4105
Phone (907) 212-6531
Other practice location 1
3760 Piper St
Suite Ll139
Anchorage, AK 99508-4683
Phone (907) 212-6233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 S Woodworth Loop
Palmer, AK 99645-8984
Phone (907) 861-6000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.18 of 100
- Quality
- 71.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NURU1444 | AK | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mat Su Valley Medical Center LLC | Current | Accepting new patients | |
| Advanced Telepsychiatry of Alaska LLC | Current | Accepting new patients | |
| Mat-Su Valley III LLC | Current | Accepting new patients | |
| Counseling Solutions of Alaska LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Mat-Su Valley Medical Center LLC | Current | Accepting new patients | |
| Mat-Su Valley III LLC | Current | Accepting new patients |
Locations
11470 Business Blvd
Ste 100
Eagle River, AK 99577
Phone (907) 622-4325
2480 S Woodworth Loop
Ste 285
Palmer, AK 99645
Phone (907) 861-6035
2500 S Woodworth Loop
Palmer, AK 99645
Phone (907) 861-6000
950 E Bogard Rd
Ste 207
Wasilla, AK 99654
Phone (907) 357-9444
950 E Bogard Rd
Wasilla, AK 99654
Phone (907) 352-2880
Interoperability endpoints
- amber.tandeske.1@2839.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Wasilla, AK
- NPI 1912950148
-
- Internal Medicine Physician
- Palmer, AK
- NPI 1366752560
-
- Adult Mental Health Clinic/Center
- Eagle River, AK
- NPI 1609467364
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Anchorage, AK
- NPI 1477682623
Psychiatric/Mental Health
-
- Urgent Care Clinic/Center
- Palmer, AK
- NPI 1518472984
-
- General Acute Care Hospital
- Palmer, AK
- NPI 1417975061
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palmer, AK
- NPI 1417975061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625788800000",
"number": "1558529008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4105",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972084105",
"telephone_number": "907-212-6531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11470 BUSINESS BLVD STE 100",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995777780",
"telephone_number": "907-689-3450"
}
],
"practiceLocations": [
{
"address_1": "3760 Piper St",
"address_2": "SUITE LL139",
"address_purpose": "LOCATION",
"city": "Anchorage",
"state": "AK",
"postal_code": "995084683",
"country_code": "US",
"telephone_number": "907-212-6233",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANDESKE",
"first_name": "AMBER",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-30",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AK",
"license": "NURU1444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle River, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.