DR. AMY TAN MD
NPI 1235176611
Surgery in Goldendale, WA
About Dr. Amy Tan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. AMY TAN MD (NPI 1235176611) is an individual surgery provider in Goldendale, Washington, licensed in Maine (MD16499) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Androscoggin Valley Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
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
Dr. Amy Tan Md 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 Reassignments
7Medicare enrollment records show Amy Tan reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mountain Grove, MO 65711
- Reassigned Medicare billing, Missouri enrollment
- 338 clinicians in this Medicare group
Randolph, VT 05060
- Reassigned Medicare billing, Vermont enrollment
- 167 clinicians in this Medicare group
Colebrook, NH 03576
- Reassigned Medicare billing, New Hampshire enrollment
- Also billed through NPI 1265536718 (New Hampshire)
- 126 clinicians in this Medicare group
Berlin, NH 03570
- Reassigned Medicare billing, New Hampshire enrollment
- Also billed through NPI 1386680593 (New Hampshire)
- 83 clinicians in this Medicare group
Norway, ME 04268
- Reassigned Medicare billing, Maine enrollment
- Also billed through NPI 1922791417 (Maine)
- 3,140 clinicians in this Medicare group
Calais, ME 04619
- Reassigned Medicare billing, Maine enrollment
- 94 clinicians in this Medicare group
Calais, ME 04619
- Reassigned Medicare billing, Maine enrollment
- Medicare enrollment name: Calais Regional Hospital
- 24 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Androscoggin Valley Hospital
Critical Access Hospitals · Berlin, NHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98620 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GOLDENDALE, WA 98620
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 Amy Tan's NPI number?
The NPI number for Amy Tan is 1235176611. It was assigned to this individual provider in the NPPES registry on June 2, 2006.
Where is Amy Tan located?
Amy Tan practices at 310 S Roosevelt St, Goldendale, WA 98620. The listed phone number is (509) 773-1007.
What is Amy Tan's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Amy Tan enrolled in Medicare?
Yes. Amy Tan 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 organizations bill Medicare for Amy Tan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Tan reassigns Medicare benefits to 7 organizations: Ozarks Medical Center (Mountain Grove, MO), Gifford Medical Center Inc. (Randolph, VT), Weeks Medical Center (Colebrook, NH), Androscoggin Valley Hospital Inc (Berlin, NH), Mainehealth (Norway, ME) and 2 more organizations, listed in the Medicare section above. Each 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 Amy Tan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amy Tan accept?
Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Health Advantage and 2 other insurers list Amy Tan 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.
Is Amy Tan affiliated with any hospitals?
According to CMS data, Amy Tan is affiliated with Androscoggin Valley Hospital.
When was this NPI record last updated?
The NPPES record for Amy Tan was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Dr. Amy Tan, MD · NPI 1235176611
Surgery physician in Goldendale, Washington. Individual provider, active in the CMS NPPES registry since June 2, 2006.
## Identity
- **NPI:** 1235176611 (Entity type: Individual)
- **Enumerated:** June 2, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** MD16499 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 310 S ROOSEVELT ST, Goldendale, WA 98620
- **Phone:** (509) 773-1007
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Ozarks Medical Center (NPI 1376679423, Mountain Grove, MO); Gifford Medical Center Inc. (NPI 1942329446, Randolph, VT); Weeks Medical Center (NPI 1669739454, Colebrook, NH); Androscoggin Valley Hospital Inc (NPI 1679526644, Berlin, NH); Mainehealth (NPI 1447730247, Norway, ME); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** February 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1235176611) · Data from the CMS NPPES public registry.