GRACE E WILDENHAUS MSW, LCSW
NPI 1053053363
Social Worker - Clinical in Columbia, MO

Q: What is Grace Wildenhaus's NPI number?

The NPI number for Grace Wildenhaus is 1053053363. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Q: What is Grace Wildenhaus's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Grace Wildenhaus was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 08, 2022PECOS Enrolled

3401 BERRYWOOD DR STE 203, COLUMBIA, MO 65201(573) 777-8455 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2024, Jul 23, 2024, Aug 11, 2022 and 1 more (4 updates tracked since 2022).

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About Grace E Wildenhaus Msw, Lcsw NPPES

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

GRACE E WILDENHAUS MSW, LCSW (NPI 1053053363) is an individual clinical provider in Columbia, Missouri, licensed in Missouri (2024036742) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053053363

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameGRACE E WILDENHAUSCredential: MSW, LCSW

Location Address3401 BERRYWOOD DR STE 203Columbia, MO 65201-6515

Mailing Address2885 W Battlefield StSpringfield, MO 65807-3952 · (417) 761-5000

Phone(573) 777-8455

Sole ProprietorNo

Enumeration DateApril 8, 2022

Last NPPES UpdateJune 23, 20264 updates tracked since enumeration

NPPES CertifiedJune 23, 2026

✔ NPI 1053053363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MO · 2024036742

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

3401 BERRYWOOD DR STE 203, Columbia, MO 65201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Cox HealthPlans, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace E Wildenhaus Msw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

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

Burrell, Inc.

136 mi

Community/Behavioral Health

1300 E BRADFORD PKWY
Springfield, MO 65804

Reassigned Medicare billing, Missouri enrollment
590 clinicians in this Medicare group

NPI 1275541740 (417) 761-5000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $52.28 – $161.24

Typical copayment $0.00 (range $13.07 – $40.31)

Most-billed visit code NA

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CORRIN N HART MED, LPC

Counselor (Professional)