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VISTA PAIN CENTER INC
NPI 1366754426
Physical Medicine & Rehabilitation - Pain Medicine in Kennewick, WA

Active since July 06, 2010CLIA 50D2000684 · Waiver
8904 W TUCANNON AVE, KENNEWICK, WA 99336(509) 627-2848(509) 627-2849 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 27, 2021, Dec 15, 2020 (2 updates tracked since 2020).

About Vista Pain Center Inc NPPES

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

VISTA PAIN CENTER INC (NPI 1366754426) is a healthcare organization registered as a pain medicine in Kennewick, Washington and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Wendy Korenkiewicz, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1366754426
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameVISTA PAIN CENTER INC
Location Address8904 W TUCANNON AVEKennewick, WA 99336-7178
Mailing Address8904 W Tucannon AveKennewick, WA 99336-7178 · (509) 627-2848 · Fax (509) 627-2849
Phone(509) 627-2848
Fax(509) 627-2849
Organization SubpartNo
Authorized OfficialWendy KorenkiewiczClinic Manager · (509) 627-2848
Enumeration DateJuly 6, 2010
Last NPPES UpdateMay 27, 20212 updates tracked since enumeration
NPPES CertifiedMay 27, 2021
✔ NPI 1366754426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in WA · MD00041323
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
8904 W TUCANNON AVE, Kennewick, WA 99336
Open in Google Maps ↗

Other Identifiers 1

Medicaid7142714WA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.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)

Vista Pain Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Vista Pain Center Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Vienna Loften, NP-C
Nurse Practitioner
NPI 1447334230
8904 W TUCANNON AVE
Kennewick, WA 99336
(509) 627-2848
✔ PECOS✔ Accepts MedicareSame address
Jean You, M.D
Physical Medicine and Rehabilitation
NPI 1184660029
8904 W TUCANNON AVE
Kennewick, WA 99336
(509) 627-2848
✔ 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.

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 50D2000684

Vista Pain Center Inc · Kennewick, WA
Active · expires Apr 4, 2028
CLIA Number50D2000684
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2023
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJean You
Laboratory Phone(509) 627-2848
Laboratory LocationVista Pain Center Inc8904 W Tucannon Ave, Kennewick, WA 99336
CLIA data matches this NPI record on: Address 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 Vista Pain Center Inc's NPI number?

The NPI number for Vista Pain Center Inc is 1366754426. It was assigned to this organization in the NPPES registry on July 6, 2010.

Where is Vista Pain Center Inc located?

Vista Pain Center Inc is located at 8904 W Tucannon Ave, Kennewick, WA 99336. The listed phone number is (509) 627-2848.

What is Vista Pain Center Inc's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Vista Pain Center Inc enrolled in Medicare?

Yes. Vista Pain Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vista Pain Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Vista Pain Center Inc, in Nurse Practitioner and Physical Medicine and Rehabilitation. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Vista Pain Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2000684) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vista Pain Center Inc accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Vista Pain Center Inc 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 Vista Pain Center Inc was last updated on May 27, 2021. 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.