1. Home
  2. Directory
  3. Indiana
  4. Carmel
  5. Pain Medicine
  6. NPI Profile

MIDWEST PAIN INSTITUTE CENTER FOR MINIMALLY INVASIVE SPINE PC
NPI 1497785273
Pain Medicine - Interventional Pain Medicine in Carmel, IN

Active since July 04, 2006CLIA 15D2010985 · Waiver
12289 HANCOCK ST STE 34, CARMEL, IN 46032(317) 815-8950(317) 815-8951 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Midwest Pain Institute Center For Minimally Invasive Spine Pc NPPES

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

MIDWEST PAIN INSTITUTE CENTER FOR MINIMALLY INVASIVE SPINE PC (NPI 1497785273) is a healthcare organization registered as an interventional pain medicine in Carmel, Indiana and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 9, 2028 and lists Sharyl Jo Border, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1497785273
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameMIDWEST PAIN INSTITUTE CENTER FOR MINIMALLY INVASIVE SPINE PC
Location Address12289 HANCOCK ST STE 34Carmel, IN 46032-5888
Mailing Address12289 Hancock St, Ste 34Carmel, IN 46032-5801 · (317) 815-8950 · Fax (317) 815-8951
Phone(317) 815-8950
Fax(317) 815-8951
Organization SubpartNo
Authorized OfficialSharyl Jo BorderPractice Administrator · (317) 815-8950
Enumeration DateJuly 4, 2006
Last NPPES UpdateSeptember 3, 2020
NPPES CertifiedSeptember 3, 2020
✔ NPI 1497785273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
12289 HANCOCK ST STE 34, Carmel, IN 46032
Open in Google Maps ↗

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 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)

Midwest Pain Institute Center For Minimally Invasive Spine Pc 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 Midwest Pain Institute Center For Minimally Invasive Spine PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Phillip Kingma, M.D.
Interventional Pain Management
NPI 1629038419
12289 HANCOCK ST STE 34
Carmel, IN 46032
(317) 815-8950
✔ PECOS✔ Accepts MedicareSame address
Kimberly Manges, DNP, APRN, AGACNP-BC
Nurse Practitioner
NPI 1407512007
12289 HANCOCK ST STE 34
Carmel, IN 46032
(317) 815-8950
✔ 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 15D2010985

Midwest Pain Institute Ctr For Minimally Invasive Spine PC · Carmel, IN
Active · expires Aug 9, 2028
CLIA Number15D2010985
Laboratory TypePhysician Office
Certificate Effective DateAugust 10, 2026
Certificate Expiration DateAugust 9, 2028
Laboratory DirectorSteven E. Levine
Laboratory Phone(317) 815-8950
Laboratory LocationMidwest Pain Institute Ctr For Minimally Invasive Spine PC12289 Hancock St, Ste 34, Carmel, IN 46032
CLIA data matches this NPI record on: Address 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 Midwest Pain Institute Center For Minimally Invasive Spine PC's NPI number?

The NPI number for Midwest Pain Institute Center For Minimally Invasive Spine PC is 1497785273. It was assigned to this organization in the NPPES registry on July 4, 2006.

Where is Midwest Pain Institute Center For Minimally Invasive Spine PC located?

Midwest Pain Institute Center For Minimally Invasive Spine PC is located at 12289 Hancock St Ste 34, Carmel, IN 46032. The listed phone number is (317) 815-8950.

What is Midwest Pain Institute Center For Minimally Invasive Spine PC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Midwest Pain Institute Center For Minimally Invasive Spine PC enrolled in Medicare?

Yes. Midwest Pain Institute Center For Minimally Invasive Spine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Midwest Pain Institute Center For Minimally Invasive Spine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Midwest Pain Institute Center For Minimally Invasive Spine PC, in Interventional Pain Management and Nurse Practitioner. 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 Midwest Pain Institute Center For Minimally Invasive Spine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2010985) is associated with this NPI, valid through August 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Midwest Pain Institute Center For Minimally Invasive Spine PC accept?

Health plans from Anthem Blue Cross and Blue Shield list Midwest Pain Institute Center For Minimally Invasive Spine 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 Midwest Pain Institute Center For Minimally Invasive Spine PC was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.