MRS. BRANDI NICHOLE TABOR APRN
NPI 1063075752
Family Medicine in Fredericktown, MO
About Mrs. Brandi Nichole Tabor Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. BRANDI NICHOLE TABOR APRN (NPI 1063075752) is an individual family medicine provider in Fredericktown, Missouri, licensed in Missouri (2019011374) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Brandi Nichole Tabor Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Brandi Tabor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
De Soto, MO 63020
- Reassigned Medicare billing, Missouri enrollment
- 13 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.
Areas of Expertise CMS Part B claims 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63645 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
FREDERICKTOWN, MO 63645
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 Brandi Tabor's NPI number?
The NPI number for Brandi Tabor is 1063075752. It was assigned to this individual provider in the NPPES registry on April 17, 2019. The provider is also known as Miss Brandi Nichole Skaggs Rn.
Where is Brandi Tabor located?
Brandi Tabor practices at 735 W Main St, Fredericktown, MO 63645. The listed phone number is (573) 783-8875.
What is Brandi Tabor's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Brandi Tabor enrolled in Medicare?
Yes. Brandi Tabor is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Brandi Tabor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brandi Tabor reassigns Medicare benefits to (De Soto, MO). The 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 Brandi Tabor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brandi Tabor accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Ambetter of Tennessee and 4 other insurers list Brandi Tabor 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 Brandi Tabor was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Brandi Nichole Tabor, APRN · NPI 1063075752
Family Medicine physician in Fredericktown, Missouri. Individual provider, active in the CMS NPPES registry since April 17, 2019.
## Identity
- **NPI:** 1063075752 (Entity type: Individual)
- **Enumerated:** April 17, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2019011374 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 735 W MAIN ST, Fredericktown, MO 63645-1113
- **Phone:** (573) 783-8875
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** (NPI 1548266737, De Soto, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 5, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1063075752) · Data from the CMS NPPES public registry.