LAURYN ELIZABETH WENBERG – Speech-Language Pathologist, NPI 1457224537

LAURYN ELIZABETH WENBERG is a healthcare provider. based in Saint paul, Minnesota. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold a License No. LICC-4052 (MN). The NPI Number for LAURYN ELIZABETH WENBERG is 1457224537

Main info

Female
2 Years Of Experience
Name
LAURYN ELIZABETH WENBERG
NPI
1457224537
Phone
(651) 254-3456
Address
640 JACKSON ST
Enumeration Date
25 September 2025
Last Update Date
25 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6125628204
Graduation Year
2024 (2 years ago)
PAC ID
5092208942
Group Practice PAC ID
2769878099
Professional Enrollment ID
I20251201000946
Address ID
MN551091692MA3030XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

239 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in MN

Provider Addresses for LAURYN ELIZABETH WENBERG

  • 640 JACKSON ST

    SAINT PAUL, MN 551012595

    Phone: (651) 254-3456

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251201000946IQualified Speech Language PathologistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769878099View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Occupational Therapist In Private PracticeMN
Qualified Speech Language PathologistMN
Physical Therapist In Private PracticeWI
Physical Therapist In Private PracticeMN
Occupational Therapist In Private PracticeMN
Occupational Therapist In Private PracticeWI
Physical Therapist In Private PracticeMN
Qualified Speech Language PathologistMN

Reviews

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Frequently asked questions

Is LAURYN ELIZABETH WENBERG listed with a National Provider Identifier?
Yes — LAURYN ELIZABETH WENBERG has NPI 1457224537 on file in the registry.
Is there an active status for LAURYN ELIZABETH WENBERG?
For scheduling context, LAURYN ELIZABETH WENBERG is shown as active in the registry.
What expertise is attributed to LAURYN ELIZABETH WENBERG?
LAURYN ELIZABETH WENBERG's specialty line reads Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What locale is associated with LAURYN ELIZABETH WENBERG?
Directory geography for LAURYN ELIZABETH WENBERG centers on Saint Paul, Minnesota.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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