NPIMap

Individual provider Active NPI

Wendy Terese Grace, MD

  • Family Medicine Physician
  • Butte, MT
National Provider Identifier
1265743348
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34591 Issued in MT
Practice address
400 S Clark St
Butte, MT 59701-2328
Phone
(406) 723-2500
NPI assigned
Jun 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD162973 OR
Family Medicine Physician 207Q00000X M-1119 ID
Family Medicine Physician 207Q00000X 34591 MT Primary

Addresses

Primary practice location

400 S Clark St
Butte, MT 59701-2328

Mailing address

445 Centennial Ave
Butte, MT 59701-2870
Phone (406) 723-4075

Other practice location 1

445 Centennial Ave
Butte, MT 59701-2870
Phone (406) 723-4075

Other practice location 2

500 W Broadway St
Missoula, MT 59802-4008
Phone (406) 543-7271

Other identifiers 1

IdentifierTypeStateIssuer
500657667MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150205000716 MT Practitioner - HospitalistPractitioner - Family Practice 3779720693 Reassigns benefits to 6 organizations
I20230918002705 ID Practitioner - Family Practice 3779720693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cogent Healthcare of Montana P CGroup PAC ID 4486712833, 82 clinicians
Providence Health and Services MtGroup PAC ID 6608786306, 358 clinicians

Practice addresses (Care Compare)

1101 26TH St S
Great Falls, MT 59405-5161
Phone (406) 455-4690

500 W Broadway St
Missoula, MT 59802-4003

500 W Broadway St
Missoula, MT 59802-4008

500 W Broadway St
Missoula, MT 59802-4096

500 W Broadway St 3Rd FL
Missoula, MT 59802-4096

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-1119IDMDFamily Medicine Physician
34591MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Butte Silver Bow Primary Health Care Clinic Inc CurrentSince Jan 6, 2015 Accepting new patients
Marcus Daly Memorial Hospital Corporation Current Accepting new patients
Cogent Healthcare of Montana P C Family Medicine CurrentSince Nov 1, 2015 Accepting new patients
Hospitalist Medicine Physicians of Montana - TCS PC Family Medicine CurrentSince Feb 12, 2022 Accepting new patients
Providence Health & Services Mt CurrentSince Jun 1, 2023 Accepting new patients
Marcus Daly Memorial Hospital Corporation CurrentSince Jan 2, 2023 Accepting new patients
Butte Silver Bow Primary Health Care Clinic Inc CurrentSince Jan 6, 2015 Accepting new patients
Providence Health & Services Mt Family Medicine CurrentSince Jun 1, 2023 Accepting new patients
Credena Health LLC CurrentSince Jun 26, 2023 Accepting new patients
Sound Physicians of Idaho Family Medicine CurrentSince Aug 6, 2023 Accepting new patients
Marcus Daly Memorial Hospital Corporation CurrentSince Jan 2, 2023 Accepting new patients
Providence Health & Services Mt Current Accepting new patients
Providence St Joseph Medical Center Family Medicine CurrentSince Jun 26, 2023 Accepting new patients
RCHP Billings - Missoula LLC Past Accepting new patients
Providence Health & Services Mt Past Accepting new patients
St James Healthcare Past Accepting new patients

Locations

1512 12th Ave Rd
Nampa, ID 83686
Phone (208) 463-5000

4300 E Flamingo Ave
Nampa, ID 83687
Phone (208) 205-1000

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

445 Centennial Ave
Butte, MT 59701
Phone (406) 723-4075

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823

1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

500 W Broadway St
Ste 320
Missoula, MT 59802
Phone (406) 329-2945

500 W Broadway St
Missoula, MT 59802
Phone (406) 327-1918

6 13th Ave E
Polson, MT 59860
Phone (406) 883-5377

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Interoperability endpoints

  • Direct secure messaging: wgrace144610@direct.ochin.org
  • Direct secure messaging: wgrace2841509@wm.providencedirect.org

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1265743348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 CENTENNIAL AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012870",
            "telephone_number": "406-723-4075",
            "fax_number": "406-496-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S CLARK ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012328",
            "telephone_number": "406-723-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 Centennial Ave",
            "address_purpose": "LOCATION",
            "city": "Butte",
            "state": "MT",
            "postal_code": "597012870",
            "country_code": "US",
            "telephone_number": "406-723-4075",
            "fax_number": "406-723-6035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Broadway St",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598024008",
            "country_code": "US",
            "telephone_number": "406-543-7271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRACE",
        "first_name": "WENDY",
        "middle_name": "TERESE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD162973",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-1119",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "34591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500657667",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.