TABITHA BEATY NP-C
NPI 1619815875
Nurse Practitioner - Family in Rolla, MO

Active since March 23, 2026PECOS Enrolled
1050 W 10TH ST, ROLLA, MO 65401(573) 364-9000(573) 426-2108 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2026, Mar 23, 2026 (2 updates tracked since 2026).

About Tabitha Beaty Np-c NPPES

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

TABITHA BEATY NP-C (NPI 1619815875) is an individual family provider in Rolla, Missouri, licensed in Missouri (2026009157) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rolla.

NPPES Registry Identity

NPI1619815875
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTABITHA BEATYCredential: NP-C
Location Address1050 W 10TH STRolla, MO 65401-2905
Mailing Address1050 W 10th StRolla, MO 65401-2905 · (573) 364-9000 · Fax (573) 426-2108
Fax(573) 426-2108
Sole ProprietorNo
Enumeration DateMarch 23, 2026
Last NPPES UpdateMay 29, 20262 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
NPI 1619815875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 2026009157
1050 W 10TH ST, Rolla, MO 65401

Secondary Practice Location 1

Location 11000 W 10th StRolla, MO 65401-2905 · Phone (573) 458-8899 · Fax (573) 341-5611

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tabitha Beaty Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65401 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 20

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

Pediatrics
1050 W 10TH ST
ROLLA, MO 65401
Internal Medicine
1050 W 10TH ST
ROLLA, MO 65401
Internal Medicine
1050 W 10TH ST
ROLLA, MO 65401
Orthopaedic Surgery
1050 W 10TH ST
ROLLA, MO 65401
Obstetrics & Gynecology
1050 W 10TH ST
ROLLA, MO 65401
Psychiatry & Neurology (Neurology)
1050 W 10TH ST
ROLLA, MO 65401
Nurse Practitioner (Adult Health)
1050 W 10TH ST
ROLLA, MO 65401
Physician Assistant
1050 W 10TH ST
ROLLA, MO 65401

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 Tabitha Beaty's NPI number?

The NPI number for Tabitha Beaty is 1619815875. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Tabitha Beaty located?

Tabitha Beaty practices at 1050 W 10th St, Rolla, MO 65401. The listed phone number is (573) 364-9000.

What is Tabitha Beaty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tabitha Beaty enrolled in Medicare?

Yes. Tabitha Beaty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tabitha Beaty was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.