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TAMMY ANDES APRN
NPI 1639635972
Nurse Practitioner in Newton, IL

Active since February 12, 2019PECOS EnrolledAccepts Medicare Assignment
4.88/100
CMS Quality Rating
601 W WASHINGTON ST STE 1, NEWTON, IL 62448(618) 783-0954(618) 783-0958 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 3, 2021, Mar 5, 2019, Feb 12, 2019 (3 updates tracked since 2019).

About Tammy Andes Aprn NPPES

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

TAMMY ANDES APRN (NPI 1639635972) is an individual nurse practitioner in Newton, Illinois, licensed in Illinois (209018907) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1639635972
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTAMMY ANDESCredential: APRN
Location Address601 W WASHINGTON ST STE 1Newton, IL 62448
Mailing Address1207 Network Centre Dr Ste 3Effingham, IL 62401-4632 · (217) 347-2707 · Fax (217) 347-2827
Phone(618) 783-0954
Fax(618) 783-0958
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 12, 2019
Last NPPES UpdateFebruary 3, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2021
✔ NPI 1639635972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209018907
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 041446908 (IL)
601 W WASHINGTON ST STE 1, Newton, IL 62448
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Tammy Andes Aprn 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 ID3971844853
PECOS Enrollment IDI20190402000883
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tammy Andes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Midwest Post Acute Care PLLC
205 mi
Nurse Practitioner
3000 N HALSTED ST STE 803
Chicago, IL 60657
  • Reassigned Medicare billing, Illinois enrollment
  • 129 clinicians in this Medicare group
NPI 1083012074 (888) 705-8722
Chestnut Health Of Illinois LLC
212 mi
Internal Medicine
1530 N RANDALL RD, SUITE 200
Elgin, IL 60123
  • Reassigned Medicare billing, Illinois enrollment
  • 66 clinicians in this Medicare group
NPI 1588043939 (224) 760-7322

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
3,923 services343 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
169 services169 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
22 services17 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62448 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

4.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost16.27

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.

LENORA DREES F.N.P.
Nurse Practitioner
601 W WASHINGTON ST STE 1
NEWTON, IL 62448
Jasper County (618) 783-0954
MID-ILLINOIS MEDICAL CARE ASSOCIATES, LLC
Clinic/Center (Rural Health)
601 W WASHINGTON ST STE 1
NEWTON, IL 62448
Jasper County (618) 783-0954

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 Tammy Andes's NPI number?

The NPI number for Tammy Andes is 1639635972. It was assigned to this individual provider in the NPPES registry on February 12, 2019.

Where is Tammy Andes located?

Tammy Andes practices at 601 W Washington St Ste 1, Newton, IL 62448. The listed phone number is (618) 783-0954.

What is Tammy Andes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tammy Andes enrolled in Medicare?

Yes. Tammy Andes 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 Tammy Andes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tammy Andes reassigns Medicare benefits to 2 organizations: Midwest Post Acute Care PLLC (Chicago, IL) and Chestnut Health Of Illinois LLC (Elgin, IL). 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 Tammy Andes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tammy Andes accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Tammy Andes 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 Tammy Andes was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.