TARA ETTESTAD RD, LD, CDE
NPI 1578991352
Dietitian, Registered in Bloomington, MN
About Tara Ettestad Rd, Ld, Cde NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA ETTESTAD RD, LD, CDE (NPI 1578991352) is an individual dietitian, registered in Bloomington, Minnesota, licensed in Minnesota (2873) and active in the NPI registry since October 2013. She is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Tara Ettestad Rd, Ld, Cde 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.
Medicare Billing Reassignments
2Medicare enrollment records show Tara Ettestad reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bloomington, MN 55420
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Eagan, MN 55121
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55420 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLOOMINGTON, MN 55420
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 Tara Ettestad's NPI number?
The NPI number for Tara Ettestad is 1578991352. It was assigned to this individual provider in the NPPES registry on October 14, 2013.
Where is Tara Ettestad located?
Tara Ettestad practices at 600 W 98th St, Bloomington, MN 55420. The listed phone number is (952) 885-6235.
What is Tara Ettestad's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Tara Ettestad enrolled in Medicare?
Yes. Tara Ettestad 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 Tara Ettestad's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Ettestad reassigns Medicare benefits to 2 organizations: Fairview Clinics (Bloomington, MN) and Fairview Express Care (Eagan, MN). 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 Tara Ettestad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tara Ettestad accept?
Health plans from Sanford Health Plan list Tara Ettestad 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 Tara Ettestad was last updated on November 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Tara Ettestad, RD, LD, CDE · NPI 1578991352
Dietitian, Registered provider in Bloomington, Minnesota. Individual provider, active in the CMS NPPES registry since October 14, 2013.
## Identity
- **NPI:** 1578991352 (Entity type: Individual)
- **Enumerated:** October 14, 2013
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 2873 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 W 98TH ST, Bloomington, MN 55420
- **Phone:** (952) 885-6235
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Fairview Clinics (NPI 1497992770, Bloomington, MN); Fairview Express Care (NPI 1881141349, Eagan, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** November 2, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1578991352) · Data from the CMS NPPES public registry.