COLLABORATIVE PAIN MANAGEMENT, PLLC
NPI 1356947295
Pain Medicine - Pain Medicine in Fairfax, VA

Q: What is Collaborative Pain Management, PLLC's NPI number?

The NPI number for Collaborative Pain Management, PLLC is 1356947295. It was assigned to this organization in the NPPES registry on December 7, 2020.

Q: What is Collaborative Pain Management, PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Active since December 07, 2020

10400 EATON PL STE 312, FAIRFAX, VA 22030(703) 261-6758(703) 995-4860 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Collaborative Pain Management, Pllc NPPES

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

COLLABORATIVE PAIN MANAGEMENT, PLLC (NPI 1356947295) is a healthcare organization registered as a pain medicine in Fairfax, Virginia and active in the NPI registry since December 2020. The organization lists Michelle Marie Jacques, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1356947295

Entity TypeOrganization

Primary Taxonomy208VP0000X

Legal Business NameCOLLABORATIVE PAIN MANAGEMENT, PLLC

Location Address10400 EATON PL STE 312Fairfax, VA 22030-2208

Mailing Address10400 Eaton Pl Ste 312Fairfax, VA 22030-2208 · (703) 261-6758 · Fax (703) 995-4860

Phone(703) 261-6758

Fax(703) 995-4860

Organization SubpartNo

Authorized OfficialMichelle Marie JacquesManaging Member · (703) 261-6758

Enumeration DateDecember 7, 2020

NPPES CertifiedDecember 3, 2020

✔ NPI 1356947295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0000X

Definition

Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

Also ListedClinic/Center · PainTaxonomy 261QP3300X

10400 EATON PL STE 312, Fairfax, VA 22030

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Collaborative Pain Management, Pllc 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 Collaborative Pain Management, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michelle Jacques, RN-BC,AGPCNP-BC,CMT

Nurse Practitioner

NPI 1194172726

10400 EATON PL STE 312
Fairfax, VA 22030

(703) 615-8422

✔ PECOS✔ Accepts MedicareSame address

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 Collaborative Pain Management, PLLC's NPI number?

The NPI number for Collaborative Pain Management, PLLC is 1356947295. It was assigned to this organization in the NPPES registry on December 7, 2020.

Where is Collaborative Pain Management, PLLC located?

Collaborative Pain Management, PLLC is located at 10400 Eaton Pl Ste 312, Fairfax, VA 22030. The listed phone number is (703) 261-6758.

What is Collaborative Pain Management, PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Collaborative Pain Management, PLLC enrolled in Medicare?

Yes. Collaborative Pain Management, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Collaborative Pain Management, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Collaborative Pain Management, PLLC. 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 Collaborative Pain Management, PLLC was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.