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INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA
NPI 1326398561
Specialist in Maple Grove, MN

Active since September 14, 2012CLIA Certified · 2 labs
9645 GROVE CIR N STE 200, MAPLE GROVE, MN 55369(763) 201-8191(763) 201-8192 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 10, 2021, Jun 13, 2018 (2 updates tracked since 2018).

About Interventional Spine And Pain Physicians, Pa NPPES

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

INTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA (NPI 1326398561) is a healthcare organization registered as a specialist in Maple Grove, Minnesota and active in the NPI registry since September 2012. The organization holds 2 active CLIA laboratory certificates and lists Jason S Wolff, Partner, as its authorized official.

NPPES Registry Identity

NPI1326398561
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameINTERVENTIONAL SPINE AND PAIN PHYSICIANS, PA
Location Address9645 GROVE CIR N STE 200Maple Grove, MN 55369
Mailing Address9645 Grove Cir N Ste 200Maple Grove, MN 55369-4466 · (763) 201-8191 · Fax (763) 201-8192
Phone(763) 201-8191
Fax(763) 201-8192
Organization SubpartNo
Authorized OfficialJason S WolffPartner · (320) 253-3243
Enumeration DateSeptember 14, 2012
Last NPPES UpdateMay 10, 20212 updates tracked since enumeration
NPPES CertifiedMay 10, 2021
✔ NPI 1326398561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineTaxonomy 2083P0500X
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
9645 GROVE CIR N STE 200, Maple Grove, MN 55369
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 24D2055055

Interventional Spine And Pain Physicians, PA · Maple Grove, MN
Active · expires Apr 17, 2027
CLIA Number24D2055055
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2025
Certificate Expiration DateApril 17, 2027
Laboratory DirectorJason S. Wolff
Laboratory Phone(763) 201-8191
Laboratory LocationInterventional Spine And Pain Physicians, PA9645 Grove Circle N Suite 200, Maple Grove, MN 55369
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 24D2087504

Interventional Spine And Pain Physicians, PA · Chaska, MN
Active · expires Sep 6, 2026
CLIA Number24D2087504
Laboratory TypePhysician Office
Certificate Effective DateSeptember 7, 2024
Certificate Expiration DateSeptember 6, 2026
Laboratory DirectorDr. Justin Peltola
Laboratory Phone(763) 201-8191
Laboratory LocationInterventional Spine And Pain Physicians, PA3000 Hundertmark Road Suite 250, Chaska, MN 55318
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 16

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

RONALD B BOEDING MD
Anesthesiology (Pain Medicine)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Hennepin County (763) 201-8191
DR. JAMES BRYAN PARMELE M.D.
Pain Medicine (Interventional Pain Medicine)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Hennepin County (763) 201-8191
ALEXIS A. BOLICK PA-C
Physician Assistant
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Hennepin County (763) 201-8191
DUSTIN ROBERT WARD M.D.
Anesthesiology (Pain Medicine)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Hennepin County (763) 201-8191
DR. JASON SANFORD WOLFF M.D.
Pain Medicine (Interventional Pain Medicine)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Hennepin County (763) 201-8191
JEANNE L MORIZIO APRN, CNP
Nurse Practitioner (Family)
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Hennepin County (763) 201-8191
EVELYN F NIETFELD APRN, CNP
Nurse Practitioner
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Hennepin County (763) 201-8191
ELLIOTT WISE PA-C
Physician Assistant
9645 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Hennepin County (763) 201-8191

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 Spine And Pain Physicians, PA's NPI number?

The NPI number for Interventional Spine And Pain Physicians, PA is 1326398561. It was assigned to this organization in the NPPES registry on September 14, 2012.

Where is Interventional Spine And Pain Physicians, PA located?

Interventional Spine And Pain Physicians, PA is located at 9645 Grove Cir N Ste 200, Maple Grove, MN 55369. The listed phone number is (763) 201-8191.

What is Interventional Spine And Pain Physicians, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Interventional Spine And Pain Physicians, PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Interventional Spine And Pain Physicians, PA accept?

Health plans from Medica list Interventional Spine And Pain Physicians, PA 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 Spine And Pain Physicians, PA was last updated on May 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.