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

Active since March 23, 2026PECOS EnrolledAccepts Medicare Assignment
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: November 01, 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, maintains a secondary practice location in Rolla, and is a graduate of Other (2025).

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
Phone(573) 364-9000
Fax(573) 426-2108
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
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
Open in Google Maps ↗

Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Tabitha Beaty Np-c 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.

PECOS PAC ID1456825868
PECOS Enrollment IDI20260707001155
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tabitha Beaty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pcrmc Medical Group, Inc
Same address
Clinic/Center
1050 W 10TH ST
Rolla, MO 65401
  • Reassigned Medicare billing, Missouri enrollment
  • 145 clinicians in this Medicare group
NPI 1124237227 (573) 364-9000
Phelps County Regional Medical Center
1.4 mi
General Acute Care Hospital
1000 W 10TH ST
Rolla, MO 65401
  • Reassigned Medicare billing, Missouri enrollment
  • 195 clinicians in this Medicare group
NPI 1891766051 (573) 458-8899

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 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.

YAM SHARMA
Pediatrics
1050 W 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-9000
DR. DONALD L JAMES DO
Internal Medicine
1050 W 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-7545
BOHDAN A LEBEDOWICZ MD
Internal Medicine
1050 W 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-9000
ALAN D HEINCKER D.O.
Orthopaedic Surgery
1050 W 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-9000
DR. KELSEY RAE KNOBBE MD
Obstetrics & Gynecology
1050 W 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-9000
MIGNON M MAKOS MD
Psychiatry & Neurology (Neurology)
1050 W 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-9000
MR. STEVEN R BALLARD ANP
Nurse Practitioner (Adult Health)
1050 W 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-9000
MRS. JENNIFER LYNN BREMER P.A.
Physician Assistant
1050 W 10TH ST
ROLLA, MO 65401
Phelps County (573) 364-9000

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tabitha Beaty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tabitha Beaty reassigns Medicare benefits to 2 organizations: Pcrmc Medical Group, Inc (Rolla, MO) and Phelps County Regional Medical Center (Rolla, MO). 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 Tabitha Beaty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tabitha Beaty accept?

Health plans from Anthem Blue Cross and Blue Shield list Tabitha Beaty 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 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 5 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.