Individual provider Active NPI

Tammy Andes, APRN

  • Nurse Practitioner
  • Newton, IL
National Provider Identifier
1639635972
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209018907 Issued in IL
Practice address
601 W Washington St Ste 1
Newton, IL 62448
Phone
(618) 783-0954
Fax
(618) 783-0958
NPI assigned
Feb 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041446908 IL
Nurse Practitioner 363L00000X 209018907 IL Primary

Addresses

Primary practice location

601 W Washington St Ste 1
Newton, IL 62448

Mailing address

1207 Network Centre Dr Ste 3
Effingham, IL 62401-4632
Phone (217) 347-2707

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address tammy.andes.1@15486.direct.athenahealth.com Direct Iroquois Memorial Hospital and Resident Home
Direct Messaging Address tammy.andes.1@15486.direct.athenahealth.com Direct Iroquois Memorial Hospital and Resident Home
Direct Messaging Address tammy.andes.1@15486.direct.athenahealth.com Direct Iroquois Memorial Hospital and resident Home

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20190402000883 IL Practitioner - Nurse Practitioner 3971844853 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chestnut Health of Illinois LLCGroup PAC ID 2264747344, 38 clinicians

Practice addresses (Care Compare)

1530 N Randall Rd
Suite 210
Elgin, IL 60123-7879
Phone (224) 760-7322

Merit-based Incentive Payment System (MIPS)

Final score
16.64 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
55.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041446908ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Post Acute Care PLLC Nurse Practitioner CurrentSince Jan 18, 2021 Accepting new patients
Chestnut Health of Illinois LLC CurrentSince Oct 3, 2022 Accepting new patients

Locations

100 NE 15th St
Casey, IL 62420
Phone (217) 932-5217

1530 N Randall Rd
Ste 210
Elgin, IL 60123
Phone (224) 760-7322

418 S Memorial Park Rd
Newman, IL 61942
Phone (217) 837-2421

310 S Eads Ave
Paris, IL 61944
Phone (217) 465-5395

1203 Egyptian Trl
Tuscola, IL 61953
Phone (217) 253-4791

Interoperability endpoints

  • Direct secure messaging: tammy.andes.1@15486.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1639635972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 NETWORK CENTRE DR STE 3",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624014632",
            "telephone_number": "217-347-2707",
            "fax_number": "217-347-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W WASHINGTON ST STE 1",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "62448",
            "telephone_number": "618-783-0954",
            "fax_number": "618-783-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDES",
        "first_name": "TAMMY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041446908",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209018907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tammy.andes.1@15486.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Iroquois Memorial Hospital and Resident Home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "34 E Jones St",
            "city": "Milford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609531046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tammy.andes.1@15486.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Iroquois Memorial Hospital and Resident Home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "720 S Crescent St Ste B",
            "city": "Gilman",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609381518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tammy.andes.1@15486.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Iroquois Memorial Hospital and resident Home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 E Fairman Ave",
            "city": "Watseka",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609701644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newton, IL

Sources for this page

Verify at the official NPI Registry.