Organization Active NPI

Partners in Excellence Inc

  • Cognitive & Behavioral Psychologist
  • Burnsville, MN
National Provider Identifier
1467598730
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
Legal business name
PARTNERS IN EXCELLENCE INC
Practice address
14301 Ewing Ave S
Burnsville, MN 55306-4885
Phone
(952) 746-5350
Fax
(952) 746-6131
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Ms. Deborah K Thomas
Title
Chief Executive Office
Phone
(952) 405-2583

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X Primary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

14301 Ewing Ave S
Burnsville, MN 55306-4885

Mailing address

14301 Ewing Ave S
Burnsville, MN 55306-4885
Phone (952) 746-5350

Other identifiers 26

IdentifierTypeStateIssuer
1225474570OtherNPI NUMBER - STEPHANY REETZ
1275960502OtherNPI NUMBER - KATHERINE SYTNIAK
1558521443OtherMNSANDRA MANNS NPI NUMBER
1659656429OtherNPI NUMBER - JENNA AVERBECK FORMERLY JENNA NIKULA
1891006599OtherNPI NUMBER - ELLEN HOXIE
1780988394OtherNPI NUMBER - AISHA BEYER
AN35342220001OtherMNCIGNA PROVIDER NUMBER
1215912662OtherJACQUELYN SCHMIDA NPI NUMBER
123522104OtherDR CHARLES MOORE NPI NUMBER
1528009560OtherWISTATE OF WI PROVIDER # - JACQUELINE SCHMIDA
152D1PAOtherMNBCBS PROVIDER # EIBI SERVICES
1700944675OtherNPI # - GERARD LASALLE
LP1359OtherMNLICENSE # - GERARD LASALLE
1235282104OtherNPI # - DR. CHARLES M MOORE
1477987831OtherNPI NUMBER - KALA MCCLELLAN
475I4PAOtherMNBCBS OF MN PROVIDER ID# - SPEECH, LANGUAGE PATHOLOGY
1028.57OtherWIDR. CHARLES MOORE
1861764938OtherNPI # - ERICA BRANDAU
1028-57OtherWIWI STATE LICENSE - DR. CHARLES M MOORE
1467598730OtherPROVIDER ID# - STATE OF WI - PARTNERS IN EXCELLENCE
1821331570OtherNPI - CORTNEY WAKEFIELD
4DT59PAOtherMNBCBS PROVIDER ID # - LACROSSE SITE FOR EIBI SERVICES
11420695OtherCAQH PROVIDER ID# - DR CHARLES MOORE
651-154OtherWIJACKIE SCHMIDA WI LICENSE
70G18PAOtherMNBCBS OF MN PROVIDER ID# - OCCUPATIONAL THERAPY SERVICES
CZ31PAOtherMNBCBS PROVIDER ID # - LACROSSE SITE OCCUPATIONAL THERAPY SERVICES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150112000062 MN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8820312366 Receives reassigned benefits from 33 practitioners
Practice locations: Burnsville, MN; Minnetonka, MN; Saint Paul, MN; Winona, MN
O20150730011079 WI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8820312366 Receives reassigned benefits from 3 practitioners
Practice locations: La Crosse, WI

National Provider Directory

National Provider Directory
Tax ID family
Partners in Excellence2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14301 Ewing Ave S
Burnsville, MN 55306
Phone (952) 746-0222

5501 Feltl Rd
Minnetonka, MN 55343
Phone (952) 746-0222

2344 Helen St N
Saint Paul, MN 55109
Phone (651) 773-5988

4255 Lexington Ave N
Saint Paul, MN 55126
Phone (651) 773-5988

223 Center St
Winona, MN 55987
Phone (507) 474-4840

901 Caledonia St
La Crosse, WI 54603
Phone (608) 785-4100

Practitioners & affiliated clinicians

Practitioners 72

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 72

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1467598730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14301 EWING AVE S",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064885",
            "telephone_number": "952-746-5350",
            "fax_number": "952-746-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14301 EWING AVE S",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064885",
            "telephone_number": "952-746-5350",
            "fax_number": "952-746-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS IN EXCELLENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICE",
        "authorized_official_telephone_number": "952-405-2583",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER - STEPHANY REETZ",
            "identifier": "1225474570",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER - KATHERINE SYTNIAK",
            "identifier": "1275960502",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANDRA MANNS NPI NUMBER",
            "identifier": "1558521443",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER - JENNA AVERBECK FORMERLY JENNA NIKULA",
            "identifier": "1659656429",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER - ELLEN HOXIE",
            "identifier": "1891006599",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER - AISHA BEYER",
            "identifier": "1780988394",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "AN35342220001",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JACQUELYN SCHMIDA NPI NUMBER",
            "identifier": "1215912662",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR CHARLES MOORE NPI NUMBER",
            "identifier": "123522104",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WI PROVIDER # - JACQUELINE SCHMIDA",
            "identifier": "1528009560",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER # EIBI SERVICES",
            "identifier": "152D1PA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI # - GERARD LASALLE",
            "identifier": "1700944675",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE # - GERARD LASALLE",
            "identifier": "LP1359",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #   - DR. CHARLES M MOORE",
            "identifier": "1235282104",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER - KALA MCCLELLAN",
            "identifier": "1477987831",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN PROVIDER ID# - SPEECH, LANGUAGE PATHOLOGY",
            "identifier": "475I4PA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. CHARLES MOORE",
            "identifier": "1028.57",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI # - ERICA BRANDAU",
            "identifier": "1861764938",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WI STATE LICENSE - DR. CHARLES M MOORE",
            "identifier": "1028-57",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID# - STATE OF WI - PARTNERS IN EXCELLENCE",
            "identifier": "1467598730",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - CORTNEY WAKEFIELD",
            "identifier": "1821331570",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID # - LACROSSE SITE FOR EIBI SERVICES",
            "identifier": "4DT59PA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID# - DR CHARLES MOORE",
            "identifier": "11420695",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JACKIE SCHMIDA WI LICENSE",
            "identifier": "651-154",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN PROVIDER ID# - OCCUPATIONAL THERAPY SERVICES",
            "identifier": "70G18PA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID # - LACROSSE SITE OCCUPATIONAL THERAPY SERVICES",
            "identifier": "CZ31PA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.