ADVANCED SPINE AND PAIN PLLC
NPI 1437627080
Anesthesiology - Pain Medicine in Draper, UT

Active since November 12, 2018CLIA 46D2168112 · Waiver
96 E KIMBALLS LN STE 408, DRAPER, UT 84020(801) 572-1186 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 6, 2025, Apr 4, 2024, Nov 12, 2018 (3 updates tracked since 2018).

About Advanced Spine And Pain Pllc NPPES

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

ADVANCED SPINE AND PAIN PLLC (NPI 1437627080) is a healthcare organization registered as a pain medicine in Draper, Utah and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through June 19, 2027, maintains a secondary practice location in Tooele, and lists Jeremy Joyal, Member, as its authorized official.

NPPES Registry Identity

NPI1437627080
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameADVANCED SPINE AND PAIN PLLC
Location Address96 E KIMBALLS LN STE 408Draper, UT 84020-5021
Mailing Address96 E Kimballs Ln Ste 408Draper, UT 84020-5021 · (801) 572-1186
Organization SubpartNo
Authorized OfficialJeremy JoyalMember · (801) 989-8660
Enumeration DateNovember 12, 2018
Last NPPES UpdateFebruary 6, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
✔ NPI 1437627080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
96 E KIMBALLS LN STE 408, Draper, UT 84020

Secondary Practice Location 1

Location 11209 N Main St Ste BTooele, UT 84074-9841 · Phone (801) 572-1186

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Spine And Pain Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Advanced Spine And Pain PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Pain Management
NPI 1588028401
96 E KIMBALLS LN STE 408
Draper, UT 84020
(801) 572-1186
✔ PECOS✔ Accepts MedicareSame address
Anesthesiology
NPI 1861622219
96 E KIMBALLS LN STE 408
Draper, UT 84020
(801) 572-1186
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053994434
11760 S 700 E STE 112
Draper, UT 84020
(801) 572-1186
✔ PECOS✔ Accepts Medicare1.2 mi
Physical Medicine and Rehabilitation
NPI 1285604462
10011 S CENTENNIAL PKWY STE 500
Sandy, UT 84070
(801) 676-7627
✔ PECOS✔ Accepts Medicare2.3 mi
Physical Medicine and Rehabilitation
NPI 1649377540
10011 CENTENNIAL PKWY SUITE 500
Sandy, UT 84070
(801) 676-7627
✔ PECOS✔ Accepts Medicare2.3 mi
Pain Management
NPI 1245762061
3665 S 8400 W STE 200
Magna, UT 84044
(801) 961-4010
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1215528971
2505 E 3300 S STE 102
Millcreek, UT 84109
(385) 333-6000
✔ PECOS14 mi
Nurse Practitioner
NPI 1487548822
4403 HARRISON BLVD STE 1875
Ogden, UT 84403
(801) 732-5900
✔ PECOS✔ Accepts Medicare45 mi
Physical Medicine and Rehabilitation
NPI 1083173322
3580 ARCADE ST
Vadnais Heights, MN 55127
(651) 968-5201
✔ PECOS✔ Accepts Medicare1,004 mi

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 46D2168112

Advanced Spine And Pain · Draper, UT
Active · expires Jun 19, 2027
CLIA Number46D2168112
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2025
Certificate Expiration DateJune 19, 2027
Laboratory DirectorJeremy J. Joyal
Laboratory Phone(801) 572-1186
Laboratory LocationAdvanced Spine And Pain96 E Kimballs Ln, Suite 408, Draper, UT 84020
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 Advanced Spine And Pain PLLC's NPI number?

The NPI number for Advanced Spine And Pain PLLC is 1437627080. It was assigned to this organization in the NPPES registry on November 12, 2018.

Where is Advanced Spine And Pain PLLC located?

Advanced Spine And Pain PLLC is located at 96 E Kimballs Ln Ste 408, Draper, UT 84020. The listed phone number is (801) 572-1186.

What is Advanced Spine And Pain PLLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Advanced Spine And Pain PLLC enrolled in Medicare?

Yes. Advanced Spine And Pain PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Spine And Pain PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Advanced Spine And Pain 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. The largest specialties are Nurse Practitioner (3), Physical Medicine and Rehabilitation (3) and Pain Management (2). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Spine And Pain PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2168112) is associated with this NPI, valid through June 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Spine And Pain PLLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Advanced Spine And Pain PLLC 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 Advanced Spine And Pain PLLC was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.