DR. JACOB ROBERT TJADEN (D.O.) – Psychiatry Physician, NPI 1164688479

DR. JACOB ROBERT TJADEN (D.O.) is a healthcare provider. based in St. cloud, Minnesota. specializing in PSYCHIATRY. They hold the professional credentials D.O.. They hold a License No. 51453 (MN). The NPI Number for DR. JACOB ROBERT TJADEN (D.O.) is 1164688479

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACOB ROBERT TJADEN (D.O.)
NPI
1164688479
Phone
(320) 251-2700
Address
1406 6TH AVENUE NORTH
Enumeration Date
6 August 2008
Last Update Date
18 March 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6512418000
Graduation Year
2007 (19 years ago)
PAC ID
5193873453
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20090427000239
Address ID
MN551022344SA333XXNXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

746 PSYCHIATRY in MN

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Provider Addresses for DR. JACOB ROBERT TJADEN (D.O.)

  • Saint Cloud Hospital, 1406, 6th Avenue North, St. Cloud, Stearns County, Minnesota, 56303, United States

    ST. CLOUD HOSPITAL

    ST. CLOUD, MN 56303

    Phone: (320) 251-2700

    Fax: (320) 229-5109

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-04-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090427000239IPsychiatryMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes45582$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes38070$0
90870Therapy using electrical currents9118$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8684$0
G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th5629$0
View full utilization report →

Insurance plans in this area (ZIP 56303)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587573613View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JACOB ROBERT TJADEN (D.O.)'s NPI?
Yes. DR. JACOB ROBERT TJADEN (D.O.) is listed with NPI 1164688479 in the public NPI dataset.
Does CMS list DR. JACOB ROBERT TJADEN (D.O.) as active?
Yes — DR. JACOB ROBERT TJADEN (D.O.) is active in the NPI listing used on this page.
What is DR. JACOB ROBERT TJADEN (D.O.) best known for clinically?
Directory data describes DR. JACOB ROBERT TJADEN (D.O.) with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What area does DR. JACOB ROBERT TJADEN (D.O.) serve?
DR. JACOB ROBERT TJADEN (D.O.)'s listing highlights St. Cloud, Minnesota; more addresses can appear in NPPES.
Why does DR. JACOB ROBERT TJADEN (D.O.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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