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PAIN AND WELLNESS INSTITUTE OF KENTUCKY LLC
NPI 1336878909
Pain Medicine - Interventional Pain Medicine in Louisville, KY

Active since June 08, 2022CLIA Certified · 2 labs
10302 BROOKRIDGE VILLAGE BLVD STE 103-104, LOUISVILLE, KY 40291(502) 576-5300(502) 576-5376 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 19, 2025, Oct 12, 2023, Mar 6, 2023 and 1 more (4 updates tracked since 2022).

About Pain And Wellness Institute Of Kentucky Llc NPPES

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

PAIN AND WELLNESS INSTITUTE OF KENTUCKY LLC (NPI 1336878909) is a healthcare organization registered as an interventional pain medicine in Louisville, Kentucky and active in the NPI registry since June 2022. The organization holds 2 active CLIA laboratory certificates and lists Kristal Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1336878909
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NamePAIN AND WELLNESS INSTITUTE OF KENTUCKY LLC
Location Address10302 BROOKRIDGE VILLAGE BLVD STE 103-104Louisville, KY 40291-4475
Mailing Address10302 Brookridge Village Blvd Ste 103-104Louisville, KY 40291-4475 · (502) 576-5300 · Fax (502) 576-5376
Phone(502) 576-5300
Fax(502) 576-5376
Organization SubpartNo
Authorized OfficialKristal WilsonOwner · (502) 876-6474
Enumeration DateJune 8, 2022
Last NPPES UpdateMarch 19, 20254 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1336878909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
10302 BROOKRIDGE VILLAGE BLVD STE 103-104, Louisville, KY 40291
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.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)

Pain And Wellness Institute Of Kentucky Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Pain And Wellness Institute Of Kentucky LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Stephanie Mclaurine, APRN
Nurse Practitioner
NPI 1366135139
10302 BROOKRIDGE VILLAGE BLVD STE 103-104
Louisville, KY 40291
(502) 576-5300
✔ PECOSSame address
Kristal Wilson, MD
Interventional Pain Management
NPI 1578853602
10302 BROOKRIDGE VILLAGE BLVD STE 103-104
Louisville, KY 40291
(502) 276-5300
✔ PECOS✔ Accepts MedicareSame address
Stephanie Tichenor, ARNP
Nurse Practitioner
NPI 1013111939
210 E GRAY ST STE 1105
Louisville, KY 40202
(502) 583-1697
✔ PECOS✔ Accepts Medicare12 mi
Melissa Hoehler, ARNP
Nurse Practitioner
NPI 1891015533
315 E BROADWAY STE 415
Louisville, KY 40202
(502) 629-5455
✔ PECOS✔ Accepts Medicare12 mi

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 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 Compliance 45D2332703

Pain And Wellness Institute Of Kentucky · Cypress, TX
Active · expires Oct 22, 2027
CLIA Number45D2332703
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorCongying Gu
Laboratory Phone(502) 576-5300
Laboratory LocationPain And Wellness Institute Of Kentucky16922 Telge Road, Suite 2B, Cypress, TX 77429
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 18D2278290

Pain And Wellness Institute Of Kentucky LLC · Louisville, KY
Active · expires Mar 14, 2027
CLIA Number18D2278290
Laboratory TypePhysician Office
Certificate Effective DateMarch 15, 2025
Certificate Expiration DateMarch 14, 2027
Laboratory DirectorDr. Kristal Wiilson
Laboratory Phone(502) 576-5300
Laboratory LocationPain And Wellness Institute Of Kentucky LLC10302 Brookridge Village Suite 103-104, Louisville, KY 40291
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pain And Wellness Institute Of Kentucky LLC's NPI number?

The NPI number for Pain And Wellness Institute Of Kentucky LLC is 1336878909. It was assigned to this organization in the NPPES registry on June 8, 2022.

Where is Pain And Wellness Institute Of Kentucky LLC located?

Pain And Wellness Institute Of Kentucky LLC is located at 10302 Brookridge Village Blvd Ste 103-104, Louisville, KY 40291. The listed phone number is (502) 576-5300.

What is Pain And Wellness Institute Of Kentucky LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Pain And Wellness Institute Of Kentucky LLC enrolled in Medicare?

Yes. Pain And Wellness Institute Of Kentucky LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pain And Wellness Institute Of Kentucky LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Pain And Wellness Institute Of Kentucky 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. The largest specialties are Nurse Practitioner (3) and Interventional Pain Management (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pain And Wellness Institute Of Kentucky LLC 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 Pain And Wellness Institute Of Kentucky LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Pain And Wellness Institute Of Kentucky LLC 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 Pain And Wellness Institute Of Kentucky LLC was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.