AMBER RACHELLE TILLMAN FNP-C
NPI 1942083365
Nurse Practitioner - Family in Southern Pines, NC

Active since August 17, 2023Opted out of Medicare · through Oct 1, 2027
760C NW BROAD ST, SOUTHERN PINES, NC 28387(916) 431-0236(855) 259-0680 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 28, 2023, Aug 17, 2023 (2 updates tracked since 2023).

About Amber Rachelle Tillman Fnp-c NPPES

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

AMBER RACHELLE TILLMAN FNP-C (NPI 1942083365) is an individual family provider in Southern Pines, North Carolina, licensed in North Carolina (5018651) and active in the NPI registry since August 2023. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1942083365
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMBER RACHELLE TILLMANCredential: FNP-C
Location Address760C NW BROAD STSouthern Pines, NC 28387-4102
Mailing Address760c Nw Broad StSouthern Pines, NC 28387-4102 · (916) 431-0236 · Fax (855) 259-0680
Fax(855) 259-0680
Sole ProprietorNo
Enumeration DateAugust 17, 2023
Last NPPES UpdateJanuary 29, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2025
NPI 1942083365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5018651
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 5018651 (NC)
760C NW BROAD ST, Southern Pines, NC 28387

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Amber Rachelle Tillman Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2025 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2025
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 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.
120 services52 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
108 services55 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
89 services51 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
83 services50 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
55 services41 patients
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.
50 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28387 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 8

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

Dietitian, Registered
760C NW BROAD ST
SOUTHERN PINES, NC 28387
Dietitian, Registered
760C NW BROAD ST
SOUTHERN PINES, NC 28387
Dietitian, Registered
760C NW BROAD ST
SOUTHERN PINES, NC 28387
Dietitian, Registered
760C NW BROAD ST
SOUTHERN PINES, NC 28387
Clinic/Center (Primary Care)
760C NW BROAD ST
SOUTHERN PINES, NC 28387
Clinic/Center
760C NW BROAD ST
SOUTHERN PINES, NC 28387
Nutritionist
760C NW BROAD ST
SOUTHERN PINES, NC 28387
Nurse Practitioner (Family)
760C NW BROAD ST
SOUTHERN PINES, NC 28387

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942083365, enumerated as an "individual" on August 17, 2023.

The provider is located at 760C NW BROAD ST SOUTHERN PINES, NC 28387 and the phone number is (916) 431-0236.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.