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MS. BREANNA JANE MINOR
NPI 1790164283
Speech-Language Pathologist in La Crosse, WI

Active since May 29, 2015
901 CALEDONIA ST, LA CROSSE, WI 54603(608) 785-4100 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 23, 2017, Sep 2, 2016, Feb 11, 2016 (3 updates tracked since 2016).

About Ms. Breanna Jane Minor NPPES

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

MS. BREANNA JANE MINOR (NPI 1790164283) is an individual speech-language pathologist provider in La Crosse, Wisconsin, licensed in Wisconsin (4117-154) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1790164283
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMS. BREANNA JANE MINOR
Location Address901 CALEDONIA STLa Crosse, WI 54603-2616
Mailing Address901 Caledonia StLa Crosse, WI 54603-2616 · (608) 785-4100
Phone(608) 785-4100
Sole ProprietorYes
Enumeration DateMay 29, 2015
Last NPPES UpdateJanuary 23, 20173 updates tracked since enumeration
✔ NPI 1790164283 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
Licenses✔ Licensed in WI · 4117-154✔ Licensed in MN · 9463
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.
901 CALEDONIA ST, La Crosse, WI 54603
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Other Identifiers 2

Other4117-154WI · Wisconsin Dsps
Other9463MN · Mdh

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Breanna Jane Minor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Partners In Excellence Inc
121 mi
Cognitive & Behavioral
14301 EWING AVE S
Burnsville, MN 55306
  • Reassigned Medicare billing, Minnesota enrollment
  • 28 clinicians in this Medicare group
NPI 1467598730 (952) 746-5350

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.

CORINA M COLON BCBA
Behavior Analyst
901 CALEDONIA ST
LA CROSSE, WI 54603
La Crosse County (608) 785-4100
CARRIE HOWARD
Behavior Technician
901 CALEDONIA ST
LA CROSSE, WI 54603
La Crosse County (952) 746-5350
NATASHA LYNN KOMPERUD
Behavior Technician
901 CALEDONIA ST
LA CROSSE, WI 54603
La Crosse County (952) 746-5350
EBONEE ROSE CUNNINGHAM
Behavior Technician
901 CALEDONIA ST
LA CROSSE, WI 54603
La Crosse County (608) 785-4100
MICHAEL VEENHUIS
Behavior Technician
901 CALEDONIA ST
LA CROSSE, WI 54603
La Crosse County (952) 746-5350
EMMA MARIE LOADER
Behavior Technician
901 CALEDONIA ST
LA CROSSE, WI 54603
La Crosse County (608) 785-4100
CLARISSA JEAN STIEFVATER
Behavior Technician
901 CALEDONIA ST
LA CROSSE, WI 54603
La Crosse County (608) 785-4100
SHELBY KATHRYN HORNBERG
Behavior Technician
901 CALEDONIA ST
LA CROSSE, WI 54603
La Crosse County (608) 785-4100

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 Breanna Minor's NPI number?

The NPI number for Breanna Minor is 1790164283. It was assigned to this individual provider in the NPPES registry on May 29, 2015.

Where is Breanna Minor located?

Breanna Minor practices at 901 Caledonia St, La Crosse, WI 54603. The listed phone number is (608) 785-4100.

What is Breanna Minor's specialty?

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

Is Breanna Minor enrolled in Medicare?

Yes. Breanna Minor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Breanna Minor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Breanna Minor reassigns Medicare benefits to Partners In Excellence Inc (Burnsville, 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 Breanna Minor'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 Breanna Minor was last updated on January 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.