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: August 16, 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
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

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

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.

Other Providers at the Same Location NPPES 3

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

Pain Medicine (Pain Medicine)
8904 W TUCANNON AVE
KENNEWICK, WA 99336
Ophthalmology
8904 W TUCANNON AVE, SUITE B
KENNEWICK, WA 99336
Nurse Practitioner (Family)
8904 W TUCANNON AVE
KENNEWICK, WA 99336

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.

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 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.