KINETIC SPINE AND PAIN SC
NPI 1013738509
Physical Medicine & Rehabilitation - Pain Medicine in Shorewood, WI
About Kinetic Spine And Pain Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KINETIC SPINE AND PAIN SC (NPI 1013738509) is a healthcare organization registered as a pain medicine in Shorewood, Wisconsin and active in the NPI registry since October 2024. The organization lists Oscar C Wille, President & Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kinetic Spine And Pain Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kinetic Spine And Pain Sc, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Kinetic Spine And Pain Sc's NPI number?
The NPI number for Kinetic Spine And Pain Sc is 1013738509. It was assigned to this organization in the NPPES registry on October 18, 2024.
Where is Kinetic Spine And Pain Sc located?
Kinetic Spine And Pain Sc is located at 4491 N Oakland Ave, Shorewood, WI 53211. The listed phone number is (414) 999-3815.
What is Kinetic Spine And Pain Sc's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.
Is Kinetic Spine And Pain Sc enrolled in Medicare?
Yes. Kinetic Spine And Pain Sc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kinetic Spine And Pain Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Kinetic Spine And Pain Sc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kinetic Spine And Pain Sc was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Kinetic Spine And Pain Sc · NPI 1013738509
Pain Medicine organization in Shorewood, Wisconsin. Organization record, active in the CMS NPPES registry since October 18, 2024.
## Identity
- **NPI:** 1013738509 (Entity type: Organization)
- **Enumerated:** October 18, 2024
- **Primary specialty:** Physical Medicine & Rehabilitation - Pain Medicine · taxonomy 2081P2900X
- **Organization subpart:** No
- **Authorized official:** Oscar Wille, PRESIDENT & CEO
## Practice location
- **Address:** 4491 N OAKLAND AVE, Shorewood, WI 53211-1611
- **Phone:** (414) 999-3815
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Pain Management) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1013738509) · Data from the CMS NPPES public registry.