Tatiana Wellens Picot, DPM, PHD

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO2760 Issued in FL

Practice address

101 6TH St NW
Winter Haven, FL 33881-4630

Phone

(863) 299-4551

Fax

(863) 299-2310

NPI assigned

Jan 11, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Tatiana A Wellens-Bruschayt Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Florida Foot and Ankle 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pinnacle Home Care Home health agency, Winter Haven, FL, CCN 108262
• HCA Florida Highlands Hospital Hospital, Sebring, FL, CCN 100049

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Central Florida Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • Winter Haven, FL
  • NPI 1093809097

  FL, Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Leading Edge Physical Therapy & Sports, Inc.

  • Physical Therapist
  • Lakeland, FL
  • NPI 1003903261
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pinnacle Home Care of Hillsborough, LLC.

  • Home Health Agency
  • Winter Haven, FL
  • NPI 1245811876
  Care Compare affiliation
• Sebring Health Services, LLC

  • General Acute Care Hospital
  • Sebring, FL
  • NPI 1598282246

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1366421059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 6TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814630",
            "telephone_number": "863-299-4551",
            "fax_number": "863-299-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 6TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814630",
            "telephone_number": "863-299-4551",
            "fax_number": "863-299-2310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1115 Lakeland Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338054655",
            "country_code": "US",
            "telephone_number": "863-299-4551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICOT",
        "first_name": "TATIANA",
        "middle_name": "WELLENS",
        "name_prefix": "Mrs.",
        "credential": "DPM, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "7741073",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER#",
            "identifier": "65624",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE NUMBER",
            "identifier": "PO2760",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATIANA",
            "last_name": "WELLENS-BRUSCHAYT",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Teresa Rene' Pierce, LPN
• Jessy Pierre-Louis, D.P.M.
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• All providers in Winter Haven, FL
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.

Verify at the official NPI Registry.