DR. GRACE CALDWELL MD
NPI 1285216788
Psychiatry & Neurology - Psychiatry in Sioux Falls, SD
About Dr. Grace Caldwell Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GRACE CALDWELL MD (NPI 1285216788) is an individual psychiatry provider in Sioux Falls, South Dakota, licensed in South Dakota (0614) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Grace Caldwell Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Grace Caldwell reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Webster, SD 57274
- Reassigned Medicare billing, South Dakota enrollment
- Medicare enrollment name: Avera St Lukes
- 259 clinicians in this Medicare group
Willmar, MN 56201
- Reassigned Medicare billing, Minnesota enrollment
- 179 clinicians in this Medicare group
Albany, MN 56307
- Reassigned Medicare billing, Minnesota enrollment
- 415 clinicians in this Medicare group
Monticello, MN 55362
- Reassigned Medicare billing, Minnesota enrollment
- 285 clinicians in this Medicare group
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 57105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
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 Grace Caldwell's NPI number?
The NPI number for Grace Caldwell is 1285216788. It was assigned to this individual provider in the NPPES registry on April 23, 2021.
Where is Grace Caldwell located?
Grace Caldwell practices at 1400 W 22nd St, Sioux Falls, SD 57105. The listed phone number is (605) 322-5737.
What is Grace Caldwell's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Grace Caldwell enrolled in Medicare?
Yes. Grace Caldwell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Grace Caldwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grace Caldwell reassigns Medicare benefits to 4 organizations: Avera Medical Group Webster (Webster, SD), Carris Health LLC (Willmar, MN), St. Cloud Hospital (Albany, MN) and Centracare Health System-Nr LLC (Monticello, MN). Each 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 Grace Caldwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Grace Caldwell accept?
Health plans from Avera Health Plans, HealthPartners, Sanford Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Grace Caldwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Grace Caldwell was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Grace Caldwell, MD · NPI 1285216788
Psychiatry physician in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since April 23, 2021.
## Identity
- **NPI:** 1285216788 (Entity type: Individual)
- **Enumerated:** April 23, 2021
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 0614 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 W 22ND ST, Sioux Falls, SD 57105-1554
- **Phone:** (605) 322-5737
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Avera Medical Group Webster (NPI 1588978423, Webster, SD); Carris Health LLC (NPI 1134632680, Willmar, MN); St. Cloud Hospital (NPI 1609241447, Albany, MN); Centracare Health System-Nr LLC (NPI 1275872772, Monticello, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** March 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1285216788) · Data from the CMS NPPES public registry.