INTERVENTIONAL PAIN & PHYSICAL MEDICINE CLINIC
NPI 1013056969
Clinic/Center - Pain in Sartell, MN
About Interventional Pain & Physical Medicine Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTERVENTIONAL PAIN & PHYSICAL MEDICINE CLINIC (NPI 1013056969) is a healthcare organization registered as a pain in Sartell, Minnesota and active in the NPI registry since February 2007. The organization lists Stacy Kowalkowski, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Interventional Pain & Physical Medicine Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Interventional Pain & Physical Medicine Clinic, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 Interventional Pain & Physical Medicine Clinic's NPI number?
The NPI number for Interventional Pain & Physical Medicine Clinic is 1013056969. It was assigned to this organization in the NPPES registry on February 6, 2007.
Where is Interventional Pain & Physical Medicine Clinic located?
Interventional Pain & Physical Medicine Clinic is located at 2301 Connecticut Avenue South, Sartell, MN 56377. The listed phone number is (320) 229-1500.
What is Interventional Pain & Physical Medicine Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.
Is Interventional Pain & Physical Medicine Clinic enrolled in Medicare?
Yes. Interventional Pain & Physical Medicine Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Interventional Pain & Physical Medicine Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Interventional Pain & Physical Medicine Clinic. A 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 the clinician's services. The largest specialties are Physical Therapist in Private Practice (4), Clinical Psychologist (1) and Occupational Therapist in Private Practice (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Interventional Pain & Physical Medicine Clinic accept?
Health plans from HealthPartners list Interventional Pain & Physical Medicine Clinic 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 Interventional Pain & Physical Medicine Clinic was last updated on July 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Interventional Pain & Physical Medicine Clinic · NPI 1013056969
Pain organization in Sartell, Minnesota. Organization record, active in the CMS NPPES registry since February 6, 2007.
## Identity
- **NPI:** 1013056969 (Entity type: Organization)
- **Enumerated:** February 6, 2007
- **Primary specialty:** Clinic/Center - Pain · taxonomy 261QP3300X
- **Organization subpart:** No
- **Authorized official:** Stacy Kowalkowski, ADMINISTRATOR
## Practice location
- **Address:** 2301 CONNECTICUT AVENUE SOUTH, Sartell, MN 56377-2474
- **Phone:** (320) 229-1500 · **Fax:** (320) 229-1505
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (4), Clinical Psychologist (1), Occupational Therapist in Private Practice (1); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 14, 2015
- **Other identifiers:** Medicare UPIN H31283 (MN); Medicaid 410645800 (MN); Other C03449 (MN); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1013056969) · Data from the CMS NPPES public registry.