JAKE NEAL TARNOWSKI (MD) – Emergency Medicine Physician, NPI 1922597707

JAKE NEAL TARNOWSKI (MD) is a healthcare provider. based in Princeton, Minnesota. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 69788 (MN). The NPI Number for JAKE NEAL TARNOWSKI (MD) is 1922597707

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
JAKE NEAL TARNOWSKI (MD)
NPI
1922597707
Phone
(763) 389-1313
Address
911 NORTHLAND DR
Enumeration Date
7 May 2018
Last Update Date
30 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7633896391
Graduation Year
2017 (9 years ago)
PAC ID
2062802762
Group Practice PAC ID
1951213057
Professional Enrollment ID
I20211213001893
Address ID
MN553712172PR911XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,172 EMERGENCY MEDICINE in MN

Provider Addresses for JAKE NEAL TARNOWSKI (MD)

  • 911 NORTHLAND DR

    PRINCETON, MN 553712172

    Phone: (763) 389-1313

    Type: Mailing

  • 2874, Lisbon Avenue North, Lake Elmo, Washington County, Minnesota, 55042, United States

    LAKE ELMO, MN 550428554

    Phone: (612) 930-9967

    Type: Mailing

  • 1300 Anne St NW

    Bemidji, MN 566015103

    Phone: (218) 333-5000

    Type: Location

  • 27351 Dequindre Rd

    Madison Heights, MI 480713487

    Phone: (248) 967-7661

    Fax: (248) 967-7876

    Type: Location

  • PO BOX 5074

    SIOUX FALLS, SD 571175074

    Phone: (605) 333-5000

    Type: Mailing

  • Saint John Macomb-Oakland Hospital, Madison Heights, 27351, Dequindre Road, Madison Heights, Macomb County, Michigan, 48071, United States

    MADISON HEIGHTS, MI 480713487

    Phone: (248) 967-7661

    Fax: (248) 967-7876

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2021-12-13

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
I20211213001893IEmergency MedicineMNTBD

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
99285Emergency department visit with high level of medical decision making238225$0
99284Emergency department visit with moderate level of medical decision making120110$0
99291Critical care, first 30-74 minutes2221$0
99283Emergency department visit with low level of medical decision making1919$0
View full utilization report →

Insurance plans in this area (ZIP 55371)

Loading plans...

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: 1951213057View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does JAKE NEAL TARNOWSKI (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JAKE NEAL TARNOWSKI (MD) uses 1922597707.
Is JAKE NEAL TARNOWSKI (MD) listed as active for patients and plans?
The listing shows JAKE NEAL TARNOWSKI (MD) as active in the NPI system.
What healthcare role does JAKE NEAL TARNOWSKI (MD) hold?
Scheduling teams often label JAKE NEAL TARNOWSKI (MD) under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for JAKE NEAL TARNOWSKI (MD)?
JAKE NEAL TARNOWSKI (MD)'s geographic hint is Princeton, Minnesota in our summary view.
Is the information about JAKE NEAL TARNOWSKI (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

BRENDA SOMMERDORF (MD)

Emergency Medicine Physician
Northland Boulevard, Princeton, Sherburne County, Minnesota, 55371, United States
NPI: 1457301038

BRENDAN M MEYER (MD)

Emergency Medicine Physician
Fairview Lakes Medical Center, 5200, Fairview Boulevard, Wyoming, Chisago County, Minnesota, 55092, United States
NPI: 1366554727
1700 UNIVERSITY AVE W
NPI: 1013097377

DAVID SCOTT ANDERSON (MD)

Family Medicine Physician
911 NORTHLAND DR
NPI: 1124249743

DR. ROSEANN EKSTROM (M.D.)

Emergency Medicine Physician
Northland Boulevard, Princeton, Sherburne County, Minnesota, 55371, United States
NPI: 1265687438

BREANNA PETERSON (D.O.)

Emergency Medicine Physician
2345 Dougherty Ferry Rd
NPI: 1013399112

KARL KOIVISTO (MD)

Emergency Medicine Physician
85 N Medical Dr
NPI: 1962931451
6161 S Yale Ave
NPI: 1477073336

DR. ZAHN RAUBENHEIMER (MD)

Student in an Organized Health Care Education/Training Program
1260, 2nd Avenue Southeast, MedQuarter, Cedar Rapids, Linn County, Iowa, 52403, United States
NPI: 1467912402