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LAURYN ELIZABETH WENBERG
NPI 1457224537
Speech-Language Pathologist in Saint Paul, MN

Active since September 25, 2025
640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-3456 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Lauryn Elizabeth Wenberg NPPES

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

LAURYN ELIZABETH WENBERG (NPI 1457224537) is an individual speech-language pathologist provider in Saint Paul, Minnesota, licensed in Minnesota (LICC-4052) and active in the NPI registry since September 2025. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1457224537
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameLAURYN ELIZABETH WENBERG
Location Address640 JACKSON STSaint Paul, MN 55101-2595
Mailing Address640 Jackson StSaint Paul, MN 55101-2595 · (651) 254-3456
Phone(651) 254-3456
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1457224537 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
License✔ Licensed in MN · LICC-4052
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.
640 JACKSON ST, Saint Paul, MN 55101
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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)

Lauryn Elizabeth Wenberg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092208942
PECOS Enrollment IDI20251201000946

Medicare Billing Reassignment

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

Active Therapy Mn
18 mi
Physical Therapist
10300 HENNEPIN TOWN RD
Eden Prairie, MN 55347
  • Reassigned Medicare billing, Minnesota enrollment
  • 27 clinicians in this Medicare group
NPI 1730835257 (612) 562-8204

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WOJCIECH KRASZKIEWICZ M.D.
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Ramsey County (651) 254-3456
NICHOLAS CHARLES BOYSEN M.D.
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Ramsey County (651) 254-3456
MOLLY CUBINSKI
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Ramsey County (651) 254-3456
ABIGAIL ELLEN PETERSON M.D.
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Ramsey County (651) 254-3456
CAITLYN SARAH LAPRES CRNA
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Ramsey County (651) 254-3456
DOMINIK ELIE FLEIFEL MD
Orthopaedic Surgery
640 JACKSON ST
SAINT PAUL, MN 55101
Ramsey County (651) 254-2005
LEE RIVARD CRNA
Nurse Anesthetist, Certified Registered
640 JACKSON ST, MAIL STOP 11503P
ST PAUL, MN 55101
Ramsey County (651) 254-3456
CHRISTINE M COLBACH MD
Pathology (Anatomic Pathology & Clinical Pathology)
640 JACKSON ST, MC 11103E
ST PAUL, MN 55101
Ramsey County (651) 254-4796

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 Lauryn Wenberg's NPI number?

The NPI number for Lauryn Wenberg is 1457224537. It was assigned to this individual provider in the NPPES registry on September 25, 2025.

Where is Lauryn Wenberg located?

Lauryn Wenberg practices at 640 Jackson St, Saint Paul, MN 55101. The listed phone number is (651) 254-3456.

What is Lauryn Wenberg's specialty?

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

Is Lauryn Wenberg enrolled in Medicare?

Yes. Lauryn Wenberg is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lauryn Wenberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauryn Wenberg reassigns Medicare benefits to Active Therapy Mn (Eden Prairie, MN). 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 Lauryn Wenberg'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 Lauryn Wenberg was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.