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INDIANA PAIN AND WELLNESS CENTER PC
NPI 1417630336
General Practice in Indianapolis, IN

Active since August 08, 2023
1305 W 96TH ST STE C, INDIANAPOLIS, IN 46260(317) 580-9867 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Indiana Pain And Wellness Center Pc NPPES

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

INDIANA PAIN AND WELLNESS CENTER PC (NPI 1417630336) is a healthcare organization registered as a general practice in Indianapolis, Indiana and active in the NPI registry since August 2023. The organization lists Mary Jo Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1417630336
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameINDIANA PAIN AND WELLNESS CENTER PC
Location Address1305 W 96TH ST STE CIndianapolis, IN 46260-1193
Mailing Address1305 W 96th St Ste CIndianapolis, IN 46260-1193 · (317) 580-9867
Phone(317) 580-9867
Organization SubpartNo
Authorized OfficialMary Jo JohnsonOwner · (317) 580-9867
Enumeration DateAugust 8, 2023
NPPES CertifiedAugust 8, 2023
✔ NPI 1417630336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1305 W 96TH ST STE C, Indianapolis, IN 46260
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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)

Indiana Pain And Wellness Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Indiana Pain And Wellness Center PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Mary Jo Johnson, DC
Chiropractic
NPI 1851383491
1305 W 96TH ST SUITE C
Indianapolis, IN 46260
(317) 580-9867
✔ Accepts MedicareSame address
Audrey Avitabile, APRN
Nurse Practitioner
NPI 1417086117
1260 CITY CENTER DR
Carmel, IN 46032
(463) 333-9110
✔ PECOS✔ Accepts Medicare3.2 mi
John Hawkins, DC
Chiropractic
NPI 1558067413
14950 GREYHOUND CT STE 2
Carmel, IN 46032
(317) 818-0940
✔ Accepts Medicare6.2 mi
Alexis Brumfield, APN
Nurse Practitioner
NPI 1467963348
1100 SOUTHFIELD DR STE 1140
Plainfield, IN 46168
(317) 839-7200
✔ PECOS✔ Accepts Medicare19 mi
Steven Avitabile, DC
Chiropractic
NPI 1396727251
1000 BEAR CAT WAY SUITE 101
Morrisville, NC 27560
(919) 532-1000
491 mi

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 Indiana Pain And Wellness Center PC's NPI number?

The NPI number for Indiana Pain And Wellness Center PC is 1417630336. It was assigned to this organization in the NPPES registry on August 8, 2023.

Where is Indiana Pain And Wellness Center PC located?

Indiana Pain And Wellness Center PC is located at 1305 W 96th St Ste C, Indianapolis, IN 46260. The listed phone number is (317) 580-9867.

What is Indiana Pain And Wellness Center PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Indiana Pain And Wellness Center PC enrolled in Medicare?

Yes. Indiana Pain And Wellness Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Indiana Pain And Wellness Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Indiana Pain And Wellness Center PC. 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. The largest specialties are Chiropractic (3) and Nurse Practitioner (2). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Indiana Pain And Wellness Center PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Indiana Pain And Wellness Center PC 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 Indiana Pain And Wellness Center PC was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.