AMANDA MILLS TALLMAN
NPI 1083320717
Counselor - Mental Health in Fort Wayne, IN

Active since January 26, 2023PECOS EnrolledAccepts Medicare Assignment
909 E STATE BLVD, FORT WAYNE, IN 46805(260) 481-2700 Get Directions Write a Review

NPPES record last updated: March 22, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 22, 2025, Aug 13, 2023, Jan 26, 2023 (3 updates tracked since 2023).

About Amanda Mills Tallman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA MILLS TALLMAN (NPI 1083320717) is an individual mental health provider in Fort Wayne, Indiana, licensed in Indiana (39005398A) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1083320717
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA MILLS TALLMAN
Location Address909 E STATE BLVDFort Wayne, IN 46805-3404
Mailing Address909 E State BlvdFort Wayne, IN 46805-3404
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 26, 2023
Last NPPES UpdateMarch 22, 20253 updates tracked since enumeration
NPPES CertifiedMarch 22, 2025
NPI 1083320717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IN · 39005398A
909 E STATE BLVD, Fort Wayne, IN 46805

Other Names 1

Professional Name (2)Mandy Mills

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amanda Mills Tallman is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820516735
PECOS Enrollment IDI20250514003549
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
909 E STATE BLVD
FORT WAYNE, IN 46805
Counselor (Mental Health)
909 E STATE BLVD
FORT WAYNE, IN 46805
Psychiatry & Neurology (Psychiatry)
909 E STATE BLVD
FORT WAYNE, IN 46805
Nurse Practitioner
909 E STATE BLVD
FORT WAYNE, IN 46805
Case Manager/Care Coordinator
909 E STATE BLVD
FORT WAYNE, IN 46805
Counselor (Mental Health)
909 E STATE BLVD
FORT WAYNE, IN 46805
Licensed Practical Nurse
909 E STATE BLVD
FORT WAYNE, IN 46805
Registered Nurse
909 E STATE BLVD
FORT WAYNE, IN 46805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Mills Tallman's NPI number?

The NPI number for Amanda Mills Tallman is 1083320717. It was assigned to this individual provider in the NPPES registry on January 26, 2023. The provider is also known as Mandy Mills.

Where is Amanda Mills Tallman located?

Amanda Mills Tallman practices at 909 E State Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 481-2700.

What is Amanda Mills Tallman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Amanda Mills Tallman enrolled in Medicare?

Yes. Amanda Mills Tallman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amanda Mills Tallman accept?

Health plans from CareSource and UnitedHealthcare list Amanda Mills Tallman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Mills Tallman was last updated on March 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.