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ANNALISE REHWALDT LICSW
NPI 1942097795
Social Worker - Clinical in Eagan, MN

Active since April 24, 2025PECOS Enrolled
1519 CENTRAL PKWY STE 260, EAGAN, MN 55121(651) 212-4920 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Annalise Rehwaldt Licsw NPPES

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

ANNALISE REHWALDT LICSW (NPI 1942097795) is an individual clinical provider in Eagan, Minnesota, licensed in Minnesota (29221) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942097795
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANNALISE REHWALDTCredential: LICSW
Location Address1519 CENTRAL PKWY STE 260Eagan, MN 55121-2488
Mailing Address2100 Highland View Ave SBurnsville, MN 55337-3021 · (612) 404-4191
Phone(651) 212-4920
Sole ProprietorNo
Enumeration DateApril 24, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1942097795 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 MN · 29221
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.
1519 CENTRAL PKWY STE 260, Eagan, MN 55121
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annalise Rehwaldt Licsw 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 Annalise Rehwaldt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wild Tree Psychotherapy, LLC
7.4 mi
Community/Behavioral Health
1061 GRAND AVE
Saint Paul, MN 55105
  • Reassigned Medicare billing, Minnesota enrollment
  • 32 clinicians in this Medicare group
NPI 1528451408 (763) 212-4920

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 55121 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 $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KELLEY LUMBARD DC
Chiropractor
1519 CENTRAL PKWY STE 260
EAGAN, MN 55121
Dakota County (612) 578-6001
LAURA CARLSON AKERS LICSW
Social Worker (Clinical)
1519 CENTRAL PKWY STE 260
EAGAN, MN 55121
Dakota County (651) 212-4920
HEATHER AMY PENM LAMFT
Marriage & Family Therapist
1519 CENTRAL PKWY STE 260
EAGAN, MN 55121
Dakota County (651) 212-4920

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 Annalise Rehwaldt's NPI number?

The NPI number for Annalise Rehwaldt is 1942097795. It was assigned to this individual provider in the NPPES registry on April 24, 2025.

Where is Annalise Rehwaldt located?

Annalise Rehwaldt practices at 1519 Central Pkwy Ste 260, Eagan, MN 55121. The listed phone number is (651) 212-4920.

What is Annalise Rehwaldt's specialty?

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

Is Annalise Rehwaldt enrolled in Medicare?

Yes. Annalise Rehwaldt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Annalise Rehwaldt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annalise Rehwaldt reassigns Medicare benefits to Wild Tree Psychotherapy, LLC (Saint Paul, MN). 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 Annalise Rehwaldt'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 Annalise Rehwaldt was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.