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
Last updated
Oct 28, 2025By the provider in NPPES
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 Psychologist 103TB0200X Primary
Pediatric Occupational Therapist 225XP0200X
Speech-Language Pathologist 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
11420695OtherCAQH PROVIDER ID# - DR CHARLES MOORE
152D1PAOtherMNBCBS PROVIDER # EIBI SERVICES
1780988394OtherNPI NUMBER - AISHA BEYER
1861764938OtherNPI # - ERICA BRANDAU
475I4PAOtherMNBCBS OF MN PROVIDER ID# - SPEECH, LANGUAGE PATHOLOGY
1275960502OtherNPI NUMBER - KATHERINE SYTNIAK
1467598730OtherPROVIDER ID# - STATE OF WI - PARTNERS IN EXCELLENCE
1659656429OtherNPI NUMBER - JENNA AVERBECK FORMERLY JENNA NIKULA
1700944675OtherNPI # - GERARD LASALLE
1891006599OtherNPI NUMBER - ELLEN HOXIE
70G18PAOtherMNBCBS OF MN PROVIDER ID# - OCCUPATIONAL THERAPY SERVICES
CZ31PAOtherMNBCBS PROVIDER ID # - LACROSSE SITE OCCUPATIONAL THERAPY SERVICES
1028.57OtherWIDR. CHARLES MOORE
1821331570OtherNPI - CORTNEY WAKEFIELD
1028-57OtherWIWI STATE LICENSE - DR. CHARLES M MOORE
AN35342220001OtherMNCIGNA PROVIDER NUMBER
1215912662OtherJACQUELYN SCHMIDA NPI NUMBER
1225474570OtherNPI NUMBER - STEPHANY REETZ
651-154OtherWIJACKIE SCHMIDA WI LICENSE
123522104OtherDR CHARLES MOORE NPI NUMBER
1558521443OtherMNSANDRA MANNS NPI NUMBER
LP1359OtherMNLICENSE # - GERARD LASALLE
1528009560OtherWISTATE OF WI PROVIDER # - JACQUELINE SCHMIDA
4DT59PAOtherMNBCBS PROVIDER ID # - LACROSSE SITE FOR EIBI SERVICES
1235282104OtherNPI # - DR. CHARLES M MOORE
1477987831OtherNPI NUMBER - KALA MCCLELLAN

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) 746-5365

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

4255 Lexington Ave N
Saint Paul, MN 55126
Phone (952) 746-0222

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, and the practitioner matching its NPPES authorized official.

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": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID# - DR CHARLES MOORE",
            "identifier": "11420695",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER # EIBI SERVICES",
            "identifier": "152D1PA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER - AISHA BEYER",
            "identifier": "1780988394",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI # - ERICA BRANDAU",
            "identifier": "1861764938",
            "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": "NPI NUMBER - KATHERINE SYTNIAK",
            "identifier": "1275960502",
            "state": null
        },
        {
            "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 NUMBER - JENNA AVERBECK FORMERLY JENNA NIKULA",
            "identifier": "1659656429",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI # - GERARD LASALLE",
            "identifier": "1700944675",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER - ELLEN HOXIE",
            "identifier": "1891006599",
            "state": null
        },
        {
            "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"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. CHARLES MOORE",
            "identifier": "1028.57",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - CORTNEY WAKEFIELD",
            "identifier": "1821331570",
            "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": "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": "NPI NUMBER - STEPHANY REETZ",
            "identifier": "1225474570",
            "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": "DR CHARLES MOORE NPI NUMBER",
            "identifier": "123522104",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANDRA MANNS NPI NUMBER",
            "identifier": "1558521443",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE # - GERARD LASALLE",
            "identifier": "LP1359",
            "state": "MN"
        },
        {
            "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 ID # - LACROSSE SITE FOR EIBI SERVICES",
            "identifier": "4DT59PA",
            "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
        }
    ],
    "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.