4 CORNERS PAIN RELIEF INSTITUTE, LLC
NPI 1033409198
Anesthesiology - Pain Medicine in Joplin, MO
About 4 Corners Pain Relief Institute, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
4 CORNERS PAIN RELIEF INSTITUTE, LLC (NPI 1033409198) is a healthcare organization registered as a pain medicine in Joplin, Missouri and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through July 20, 2027 and lists John Knudsen Iii, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
4 Corners Pain Relief Institute, Llc 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 4 Corners Pain Relief Institute, LLC, 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.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 26D2027299
4 Corners Pain Relief Institute · Joplin, MOFrequently 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 Four States Pain Relief Institute, LLC's NPI number?
The NPI number for Four States Pain Relief Institute, LLC is 1033409198. It was assigned to this organization in the NPPES registry on April 11, 2011. The provider is doing business as 4 Corners Pain Relief Institute, LLC.
Where is Four States Pain Relief Institute, LLC located?
Four States Pain Relief Institute, LLC is located at 2650 E 32nd St Suite 101, Joplin, MO 64804. The listed phone number is (417) 624-4277.
What is Four States Pain Relief Institute, LLC's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.
Is Four States Pain Relief Institute, LLC enrolled in Medicare?
Yes. Four States Pain Relief Institute, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Four States Pain Relief Institute, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Pain Management) reassigns their Medicare billing to Four States Pain Relief Institute, LLC. 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.
Does Four States Pain Relief Institute, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D2027299) is associated with this NPI, valid through July 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Four States Pain Relief Institute, LLC was last updated on August 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# 4 Corners Pain Relief Institute, Llc · NPI 1033409198
Pain Medicine organization in Joplin, Missouri. Organization record, active in the CMS NPPES registry since April 11, 2011.
## Identity
- **NPI:** 1033409198 (Entity type: Organization)
- **Enumerated:** April 11, 2011
- **Primary specialty:** Anesthesiology - Pain Medicine · taxonomy 207LP2900X
- **Legal business name:** Four States Pain Relief Institute, Llc
- **Organization subpart:** No
- **Authorized official:** John Knudsen Iii, OWNER
## Practice location
- **Address:** 2650 E 32ND ST, SUITE 101, Joplin, MO 64804-4313
- **Phone:** (417) 624-4277 · **Fax:** (417) 624-4297
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Interventional Pain Management) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 8, 2013
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1033409198) · Data from the CMS NPPES public registry.