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

Q: 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.

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: August 09, 2026.

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

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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 from Home State Health, Ambetter Health and more.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 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.

Other Providers at the Same Location NPPES 2

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

STEPHANIE LYNN MCLAURINE APRN

Nurse Practitioner (Family)

10302 BROOKRIDGE VILLAGE BLVD STE 103-104
LOUISVILLE, KY 40291

Jefferson County (502) 576-5300

KRISTAL LEE ANN WILSON MD

Pain Medicine (Interventional Pain Medicine)

10302 BROOKRIDGE VILLAGE BLVD STE 103-104
LOUISVILLE, KY 40291

Jefferson County (502) 276-5300

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.

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 from Home State Health and Ambetter of Tennessee 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 16 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.