Active NPI
Patrick Yvan Tapp
- Psychiatric/Mental Health Nurse Practitioner
- Edina, MN
National Provider Identifier
1265230874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 13129
- Practice address
- 7505 Metro Blvd Ste 505
Edina, MN 55439-3018 - Phone
- (651) 271-1665
- NPI assigned
- Mar 7, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 13129 | MN | Primary |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 2476128 | MN |
Addresses
Primary practice location
7505 Metro Blvd Ste 505
Edina, MN 55439-3018
Mailing address
510 Huset Pkwy NE
Columbia Heights, MN 55421-5030
Phone (612) 812-0286
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2438 E 117TH St
Burnsville, MN 55337-1281
Phone (612) 444-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2476128 | MN | MD | Psychiatric/Mental Health Registered Nurse |
| 13129 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Burnsville, MN
- NPI 1851922819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1265230874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 HUSET PKWY NE",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "554215030",
"telephone_number": "612-812-0286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7505 METRO BLVD STE 505",
"city": "EDINA",
"state": "MN",
"postal_code": "554393018",
"telephone_number": "651-271-1665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAPP",
"first_name": "PATRICK",
"middle_name": "YVAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-07",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MN",
"license": "13129",
"primary": true
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "MN",
"license": "2476128",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.