ABBY JO TIBODEAU RD, LD
NPI 1912471665
Dietitian, Registered in Mankato, MN
About Abby Jo Tibodeau Rd, Ld NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABBY JO TIBODEAU RD, LD (NPI 1912471665) is an individual dietitian, registered in Mankato, Minnesota, licensed in Minnesota (3033) and active in the NPI registry since January 2019. She is a graduate of Other (2010).
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 (PECOS)
Abby Jo Tibodeau Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Abby Tibodeau reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Irving, TX 75039
- Reassigned Medicare billing, Arkansas, Arizona, District of Columbia, Florida, Georgia, Iowa, Idaho, Illinois, Massachusetts, Maryland, Maine, New Hampshire, New Mexico, Nevada, Ohio, Pennsylvania, Texas, Washington and Wisconsin enrollments
- Medicare enrollment name: Season Clinical Care PA
- 33 clinicians in this Medicare group
Irving, TX 75039
- Reassigned Medicare billing, Arizona, Georgia, North Carolina and Texas enrollments
- 79 clinicians in this Medicare group
Brooklyn, NY 11201
- Reassigned Medicare billing, New York enrollment
- 10 clinicians in this Medicare group
Phoenix, AZ 85016
- Reassigned Medicare billing, Arizona enrollment
- 44 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.
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.
MANKATO, MN 56001
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 Abby Tibodeau's NPI number?
The NPI number for Abby Tibodeau is 1912471665. It was assigned to this individual provider in the NPPES registry on January 16, 2019.
Where is Abby Tibodeau located?
Abby Tibodeau practices at 1230 E Main St, Mankato, MN 56001. The listed phone number is (507) 625-1811.
What is Abby Tibodeau's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Abby Tibodeau enrolled in Medicare?
Yes. Abby Tibodeau is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Abby Tibodeau's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Abby Tibodeau reassigns Medicare benefits to 4 organizations: Season Clinical Care P.A. (Irving, TX), Surely Health, Inc. (Irving, TX), Season Medical Care Ny PC (Brooklyn, NY) and Uhling Consulting, LLC (Phoenix, AZ). 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 Abby Tibodeau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Abby Tibodeau accept?
Health plans from Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Texas list Abby Tibodeau 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 Abby Tibodeau was last updated on July 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Abby Jo Tibodeau, RD, LD · NPI 1912471665
Dietitian, Registered provider in Mankato, Minnesota. Individual provider, active in the CMS NPPES registry since January 16, 2019.
## Identity
- **NPI:** 1912471665 (Entity type: Individual)
- **Enumerated:** January 16, 2019
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 3033 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1230 E MAIN ST, Mankato, MN 56001-5066
- **Phone:** (507) 625-1811
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Season Clinical Care P.A. (NPI 1649933565, Irving, TX); Surely Health, Inc. (NPI 1053078360, Irving, TX); Season Medical Care Ny PC (NPI 1275421810, Brooklyn, NY); Uhling Consulting, LLC (NPI 1609171636, Phoenix, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** July 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1912471665) · Data from the CMS NPPES public registry.