AMY LYNN TANGEDAHL PA-C
NPI 1427288836
Physician Assistant - Surgical in Missoula, MT

Active since July 20, 2009PECOS EnrolledAccepts Medicare Assignment
81.43/100
CMS Quality Rating
500 W BROADWAY ST STE 310, MISSOULA, MT 59802(406) 728-6520(406) 329-2799 Get Directions Write a Review

NPPES record last updated: November 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 16, 2025, Jul 21, 2022, Jun 29, 2020 and 1 more (4 updates tracked since 2017).

About Amy Lynn Tangedahl Pa-c NPPES

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

AMY LYNN TANGEDAHL PA-C (NPI 1427288836) is an individual surgical provider in Missoula, Montana, licensed in Montana (22661) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with St. Patrick Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1427288836
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameAMY LYNN TANGEDAHLCredential: PA-C
Location Address500 W BROADWAY ST STE 310Missoula, MT 59802-4003
Mailing AddressPo Box 31001Pasadena, CA 91110-4110 · (406) 728-6520 · Fax (406) 329-2799
Fax(406) 329-2799
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 20, 2009
Last NPPES UpdateNovember 16, 20254 updates tracked since enumeration
NPPES CertifiedNovember 16, 2025
NPI 1427288836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses Licensed in MT · 22661 Licensed in OR · PA130034
500 W BROADWAY ST STE 310, Missoula, MT 59802

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

Amy Lynn Tangedahl Pa-c 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 ID6507912698
PECOS Enrollment IDI20130411000547
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
86 services76 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
58 services55 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services21 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
20 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
18 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St. Patrick Hospital

Acute Care Hospitals · Missoula, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number270014
Location500 W BroadwayMissoula, MT 59806 · Missoula County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.22
Promoting Interoperability100
Improvement Activities40
Cost64.88

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Gerontology)
500 W BROADWAY ST STE 310
MISSOULA, MT 59802
Nurse Practitioner (Family)
500 W BROADWAY ST STE 310
MISSOULA, MT 59802

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 Tangedahl's NPI number?

The NPI number for Amy Tangedahl is 1427288836. It was assigned to this individual provider in the NPPES registry on July 20, 2009.

Where is Amy Tangedahl located?

Amy Tangedahl practices at 500 W Broadway St Ste 310, Missoula, MT 59802. The listed phone number is (406) 728-6520.

What is Amy Tangedahl's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Amy Tangedahl enrolled in Medicare?

Yes. Amy Tangedahl 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 Amy Tangedahl accept?

Health plans from Blue Cross and Blue Shield of Montana, PacificSource Health Plans and Providence Health Plan list Amy Tangedahl 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 Tangedahl affiliated with any hospitals?

According to CMS data, Amy Tangedahl is affiliated with St. Patrick Hospital.

When was this NPI record last updated?

The NPPES record for Amy Tangedahl was last updated on November 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.