AMBER TANDESKE (ANP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1558529008

AMBER TANDESKE (ANP) is a healthcare provider. based in Eagle river, Alaska. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP. They hold a License No. NURU1444 (AK). The NPI Number for AMBER TANDESKE (ANP) is 1558529008

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
AMBER TANDESKE (ANP)
NPI
1558529008
Phone
(907) 689-3450
Address
11470 BUSINESS BLVD STE 100
Enumeration Date
30 May 2008
Last Update Date
9 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9078616000
Graduation Year
2019 (7 years ago)
PAC ID
3274852504
Group Practice PAC ID
5698686475
Professional Enrollment ID
I20150507001009
Address ID
AK996458984PA2500XLOOP400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

762 NURSE PRACTITIONER in AK

Provider Addresses for AMBER TANDESKE (ANP)

  • 11470 BUSINESS BLVD STE 100

    EAGLE RIVER, AK 995777780

    Phone: (907) 689-3450

    Type: Location

  • Providence Crisis Recovery Center, 3760, Piper Street, Anchorage, Alaska, 99508, United States

    SUITE LL139

    ANCHORAGE, AK 995084683

    Phone: (907) 212-6233

    Type: Location

  • 3760 Piper St

    SUITE LL139

    Anchorage, AK 995084683

    Phone: (907) 212-6233

    Type: Location

  • 4105, Southwest Parkview Avenue, West Slope, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972084105

    Phone: (907) 212-6531

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150507001009INurse PractitionerAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3013$0
View full utilization report →

Insurance plans in this area (ZIP 99577)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698686475View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to AMBER TANDESKE (ANP)?
NPI 1558529008 is assigned to AMBER TANDESKE (ANP) under the national enumeration system.
Is AMBER TANDESKE (ANP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does AMBER TANDESKE (ANP) work in?
You can think of AMBER TANDESKE (ANP) as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does AMBER TANDESKE (ANP) practice in Alaska?
You will see Eagle River, Alaska on file for AMBER TANDESKE (ANP) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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