1. Home
  2. Directory
  3. Illinois
  4. Springfield
  5. Social Worker
  6. NPI Profile

REX BLAIR WYATT LCSW
NPI 1417731290
Social Worker - Clinical in Springfield, IL

Active since August 22, 2023PECOS Enrolled
520 N 4TH ST, SPRINGFIELD, IL 62702(217) 545-8000(217) 757-8161 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 16, 2025, Jul 9, 2024, Jan 3, 2024 and 2 more (5 updates tracked since 2023).

About Rex Blair Wyatt Lcsw NPPES

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

REX BLAIR WYATT LCSW (NPI 1417731290) is an individual clinical provider in Springfield, Illinois, licensed in Illinois (149.025823) and active in the NPI registry since August 2023. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417731290
Entity TypeIndividual
Primary Taxonomy1041C0700X
Provider Legal NameREX BLAIR WYATTCredential: LCSW
Location Address520 N 4TH STSpringfield, IL 62702-5238
Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-8000
Phone(217) 545-8000
Fax(217) 757-8161
Sole ProprietorNo
Enumeration DateAugust 22, 2023
Last NPPES UpdateSeptember 16, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1417731290 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 IL · 149.025823
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.
520 N 4TH ST, Springfield, IL 62702
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rex Blair Wyatt 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 Rex Wyatt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Board Of Trustees Of Southern Illinois University
0.7 mi
Primary Care
520 N 4TH ST
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 262 clinicians in this Medicare group
NPI 1396097960 (217) 757-8100

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 62702 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 $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

MRS. AMANDA B HENSON LCSW
Social Worker (Clinical)
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. BASAR CENIK M.D.
Psychiatry & Neurology (Psychiatry)
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. HARI IYENGAR MD
Family Medicine
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 757-8100
DR. JOSEPH DOUGLAS WRIGHT DO
Family Medicine
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 757-8197
HELEN L MOOSE CNM-MS
Advanced Practice Midwife
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
JANET R ALBERS M.D.
Family Medicine
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
ANNETTE REESE
Community Health Worker
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
AMBER GUYTON
Advanced Practice Midwife
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000

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 Rex Wyatt's NPI number?

The NPI number for Rex Wyatt is 1417731290. It was assigned to this individual provider in the NPPES registry on August 22, 2023.

Where is Rex Wyatt located?

Rex Wyatt practices at 520 N 4th St, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Rex Wyatt's specialty?

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

Is Rex Wyatt enrolled in Medicare?

Yes. Rex Wyatt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rex Wyatt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rex Wyatt reassigns Medicare benefits to Board Of Trustees Of Southern Illinois University (Springfield, IL). 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 Rex Wyatt'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 Rex Wyatt was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.