GRACE E. WANDERSLEBEN MD
NPI 1376142844
General Practice in Canovanas, PR
About Grace E. Wandersleben Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACE E. WANDERSLEBEN MD (NPI 1376142844) is an individual general practice provider in Canovanas, Puerto Rico, licensed in Puerto Rico (022070) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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. Wandersleben Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Grace Wandersleben reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Canovanas, PR 00729
- Reassigned Medicare billing, Puerto Rico enrollment
- 3 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.
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 Wandersleben's NPI number?
The NPI number for Grace Wandersleben is 1376142844. It was assigned to this individual provider in the NPPES registry on October 25, 2020.
Where is Grace Wandersleben located?
Grace Wandersleben practices at Carretera 188 Km 1.5 Barrio San Isidro, Canovanas, PR 00729. The listed phone number is (787) 957-2020.
What is Grace Wandersleben's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Grace Wandersleben enrolled in Medicare?
Yes. Grace Wandersleben is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Grace Wandersleben's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Grace Wandersleben reassigns Medicare benefits to G & G Medical Group LLC (Canovanas, PR). 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 Grace Wandersleben'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 Grace Wandersleben was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Grace E. Wandersleben, MD · NPI 1376142844
General Practice physician in Canovanas, Puerto Rico. Individual provider, active in the CMS NPPES registry since October 25, 2020.
## Identity
- **NPI:** 1376142844 (Entity type: Individual)
- **Enumerated:** October 25, 2020
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 022070 (Puerto Rico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** CARRETERA 188 KM 1.5 BARRIO SAN ISIDRO, Canovanas, PR 00729-3998
- **Phone:** (787) 957-2020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** G & G Medical Group LLC (NPI 1023734373, Canovanas, PR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1376142844) · Data from the CMS NPPES public registry.