DR. JESSICA TABATT D.P.M.
NPI 1811250707
Podiatrist - Foot & Ankle Surgery in Brainerd, MN

Q: What is Jessica Tabatt's NPI number?

The NPI number for Jessica Tabatt is 1811250707. It was assigned to this individual provider in the NPPES registry on June 17, 2012.

Q: What is Jessica Tabatt's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Tabatt was last updated on November 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 17, 2012PECOS Enrolled

2024 S 6TH ST, BRAINERD, MN 56401(218) 828-7110 Get Directions Write a Review

NPPES record last updated: November 27, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Jessica Tabatt D.p.m. NPPES

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

DR. JESSICA TABATT D.P.M. (NPI 1811250707) is an individual foot & ankle surgery provider in Brainerd, Minnesota, licensed in Minnesota (928) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pine River.

NPPES Registry Identity

NPI1811250707

Entity TypeIndividualFemale

Primary Taxonomy213ES0103X

Provider Legal NameDR. JESSICA TABATTCredential: D.P.M.

Location Address2024 S 6TH STBrainerd, MN 56401-4529

Mailing Address400 E 3rd St, Mcl2credDuluth, MN 55805-1951 · (218) 829-2861

Phone(218) 828-7110

Sole ProprietorNo

Enumeration DateJune 17, 2012

Last NPPES UpdateNovember 27, 2018

✔ NPI 1811250707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

Licenses✔ Licensed in MN · 928✔ Licensed in MN · TP187

2024 S 6TH ST, Brainerd, MN 56401

Open in Google Maps ↗

Secondary Practice Location 1

Location 1415 Barclay AvePine River, MN 56474-5139 · Phone (218) 587-4416

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessica Tabatt D.p.m. 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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Tabatt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Joseph's Medical Center

Same address

General Practice

2024 S 6TH ST
Brainerd, MN 56401

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: St Josephs Medical Center
340 clinicians in this Medicare group

NPI 1184866956 (218) 828-7100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ERIC JOHN CHAPMAN D.O.

Urology