MOMENTA PAIN CARE, LLC
NPI 1417474602
Pain Medicine - Pain Medicine in Omaha, NE
About Momenta Pain Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOMENTA PAIN CARE, LLC (NPI 1417474602), doing business as Momenta Pain Billing, Llc, is a healthcare organization registered as a pain medicine in Omaha, Nebraska and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through November 6, 2027 and lists Shelly Ross, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Accepted 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)
Momenta Pain Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Momenta Pain Care, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 28D2139672
Momenta Pain Care, LLC · Omaha, NEFrequently 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 Momenta Pain Care, LLC's NPI number?
The NPI number for Momenta Pain Care, LLC is 1417474602. It was assigned to this organization in the NPPES registry on August 28, 2017. The provider was formerly known as Momenta Pain Billing, LLC.
Where is Momenta Pain Care, LLC located?
Momenta Pain Care, LLC is located at 1805 N 145th St, Omaha, NE 68154. The listed phone number is (402) 991-6559.
What is Momenta Pain Care, LLC's specialty?
The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.
Is Momenta Pain Care, LLC enrolled in Medicare?
Yes. Momenta Pain Care, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Momenta Pain Care, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Momenta Pain Care, LLC, in Anesthesiology and Pain Management. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Momenta Pain Care, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 28D2139672) is associated with this NPI, valid through November 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Momenta Pain Care, LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Sunflower Health Plan list Momenta Pain Care, 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 Momenta Pain Care, LLC was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Momenta Pain Care, Llc · NPI 1417474602
Pain Medicine organization in Omaha, Nebraska. Organization record, active in the CMS NPPES registry since August 28, 2017.
## Identity
- **NPI:** 1417474602 (Entity type: Organization)
- **Enumerated:** August 28, 2017
- **Primary specialty:** Pain Medicine - Pain Medicine · taxonomy 208VP0000X
- **Organization subpart:** No
- **Authorized official:** Shelly Ross, BILLING MANAGER
## Practice location
- **Address:** 1805 N 145TH ST, Omaha, NE 68154
- **Phone:** (402) 991-6559 · **Fax:** (402) 991-3552
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Anesthesiology (1), Pain Management (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 4, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1417474602) · Data from the CMS NPPES public registry.