AMANDA MILLS TALLMAN
NPI 1083320717
Counselor - Mental Health in Fort Wayne, IN
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
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Amanda Mills Tallman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Peru, IN 46970
- Reassigned Medicare billing, Indiana enrollment
- 55 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Amanda Mills Tallman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Mills Tallman reassigns Medicare benefits to Four County Comprehensive Mental Health Center Inc (Peru, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Mills Tallman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amanda Mills Tallman accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers 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 19 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.
# Amanda Mills Tallman · NPI 1083320717
Mental Health provider in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since January 26, 2023.
## Identity
- **NPI:** 1083320717 (Entity type: Individual)
- **Enumerated:** January 26, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 39005398A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 909 E STATE BLVD, Fort Wayne, IN 46805-3404
- **Phone:** (260) 481-2700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Four County Comprehensive Mental Health Center Inc (NPI 1295562536, Peru, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** March 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1083320717) · Data from the CMS NPPES public registry.