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BROOKLYN MEYER
NPI 1063192862
Speech-Language Pathologist in White Bear Lake, MN

Active since July 18, 2023
12314 EVERTON CIR N, WHITE BEAR LAKE, MN 55110(651) 769-7814 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brooklyn Meyer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKLYN MEYER (NPI 1063192862) is an individual speech-language pathologist provider in White Bear Lake, Minnesota and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1063192862
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameBROOKLYN MEYER
Location Address12314 EVERTON CIR NWhite Bear Lake, MN 55110-5992
Mailing Address12314 Everton Cir NWhite Bear Lake, MN 55110-5992 · (651) 769-7814
Phone(651) 769-7814
Sole ProprietorYes
Enumeration DateJuly 18, 2023
NPPES CertifiedJuly 18, 2023
✔ NPI 1063192862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
12314 EVERTON CIR N, White Bear Lake, MN 55110
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooklyn Meyer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Brooklyn Meyer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Croix Therapy Inc
20 mi
Physical Therapist
742 STERBENZ DR
Hudson, WI 54016
  • Reassigned Medicare billing, Wisconsin enrollment
  • 11 clinicians in this Medicare group
NPI 1669672911 (715) 386-2128

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brooklyn Meyer's NPI number?

The NPI number for Brooklyn Meyer is 1063192862. It was assigned to this individual provider in the NPPES registry on July 18, 2023.

Where is Brooklyn Meyer located?

Brooklyn Meyer practices at 12314 Everton Cir N, White Bear Lake, MN 55110. The listed phone number is (651) 769-7814.

What is Brooklyn Meyer's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Brooklyn Meyer enrolled in Medicare?

Yes. Brooklyn Meyer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brooklyn Meyer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brooklyn Meyer reassigns Medicare benefits to St Croix Therapy Inc (Hudson, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brooklyn Meyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brooklyn Meyer was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.