COMPREHENSIVE PAIN MANAGEMENT,INC.
NPI 1548483308
Specialist in Wasilla, AK

Active since April 10, 2007CLIA Certified · 2 labs
851 WESTPOINT DR, SUITE 203, WASILLA, AK 99654(907) 373-7934(907) 373-7935 Get Directions Write a Review

NPPES record last updated: September 12, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Comprehensive Pain Management,inc. NPPES

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

COMPREHENSIVE PAIN MANAGEMENT,INC. (NPI 1548483308) is a healthcare organization registered as a specialist in Wasilla, Alaska and active in the NPI registry since April 2007. The organization holds 2 active CLIA laboratory certificates and lists Andrew Richard Jaconette, President, as its authorized official.

NPPES Registry Identity

NPI1548483308
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCOMPREHENSIVE PAIN MANAGEMENT,INC.
Location Address851 WESTPOINT DR, SUITE 203Wasilla, AK 99654-7142
Mailing AddressPo Box 210850Anchorage, AK 99521-0850 · (907) 677-6900 · Fax (907) 677-6999
Fax(907) 373-7935
Organization SubpartNo
Authorized OfficialAndrew Richard JaconettePresident · (907) 677-7440
Enumeration DateApril 10, 2007
Last NPPES UpdateSeptember 12, 2009
NPI 1548483308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in AK · 5328
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
851 WESTPOINT DR, Wasilla, AK 99654

Other Identifiers 4

Medicare UPINH14138AK
Medicare ID-Type UnspecifiedK160246AK · Group
Medicare ID-Type UnspecifiedK160247AK · Wasilla
MedicaidMDG171AK

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

CLIA Laboratory Certificates CMS CLIA 2

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 02D2086067

Comprehensive Pain Management, Inc · Anchorage, AK
Active · expires Oct 26, 2026
CLIA Number02D2086067
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorDr. Andrew R. Jaconette
Laboratory Phone(907) 677-6900
Laboratory LocationComprehensive Pain Management, Inc3650 Lake Otis Parkway #105, Anchorage, AK 99508
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 02D2086069

Comprehensive Pain Management, Inc · Wasilla, AK
Active · expires Oct 26, 2026
CLIA Number02D2086069
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorDr. Andrew R. Jaconette
Laboratory Phone(907) 373-7934
Laboratory LocationComprehensive Pain Management, Inc851 E Westpoint Drive, #203, Wasilla, AK 99654
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Case Management
851 WESTPOINT DR, STE 306
WASILLA, AK 99654
Dermatology
851 WESTPOINT DR, B10
WASILLA, AK 99654
Family Medicine
851 WESTPOINT DR, SUITE 302
WASILLA, AK 99654
Respite Care
851 WESTPOINT DR, STE 306
WASILLA, AK 99654
Dentist
851 WESTPOINT DR, SUITE 112
WASILLA, AK 99654
Dermatology
851 WESTPOINT DR, STE B10
WASILLA, AK 99654

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 Comprehensive Pain Management,inc.'s NPI number?

The NPI number for Comprehensive Pain Management,inc. is 1548483308. It was assigned to this organization in the NPPES registry on April 10, 2007.

Where is Comprehensive Pain Management,inc. located?

Comprehensive Pain Management,inc. is located at 851 Westpoint Dr Suite 203, Wasilla, AK 99654. The listed phone number is (907) 373-7934.

What is Comprehensive Pain Management,inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Comprehensive Pain Management,inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Comprehensive Pain Management,inc. was last updated on September 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.