1. Home
  2. Directory
  3. Utah
  4. Clinton
  5. Pain Medicine
  6. NPI Profile

GLACIER PEAK PAIN CARE PLLC
NPI 1568909836
Pain Medicine - Interventional Pain Medicine in Clinton, UT

Active since January 25, 2017CLIA 46D2277181 · Waiver
1407 N 2000 W, CLINTON, UT 84015(385) 333-7123 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2025, Jan 25, 2017 (2 updates tracked since 2017).

About Glacier Peak Pain Care Pllc NPPES

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

GLACIER PEAK PAIN CARE PLLC (NPI 1568909836) is a healthcare organization registered as an interventional pain medicine in Clinton, Utah and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through February 22, 2027 and lists Kirsten E Baca, Member, as its authorized official.

NPPES Registry Identity

NPI1568909836
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameGLACIER PEAK PAIN CARE PLLC
Location Address1407 N 2000 WClinton, UT 84015-8562
Mailing Address1407 N 2000 WClinton, UT 84015-8562 · (385) 333-7123
Phone(385) 333-7123
Organization SubpartNo
Authorized OfficialKirsten E BacaMember · (443) 413-3130
Enumeration DateJanuary 25, 2017
Last NPPES UpdateMay 6, 20252 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1568909836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in UT · 9777824-1205
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.
1407 N 2000 W, Clinton, UT 84015
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 Molina Healthcare, University of Utah Health Plans.Insurance ›

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 46D2277181

Glacier Peak Pain Care · Clinton, UT
Active · expires Feb 22, 2027
CLIA Number46D2277181
Laboratory TypePhysician Office
Certificate Effective DateFebruary 23, 2025
Certificate Expiration DateFebruary 22, 2027
Laboratory DirectorKirsten E. Baca
Laboratory Phone(385) 333-7123
Laboratory LocationGlacier Peak Pain Care1407 North 2000 West, Suite G, Clinton, UT 84015
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

RISHA PAYNE LMT
Massage Therapist
1407 N 2000 W
WEST POINT, UT 84015
Davis County (801) 835-8040
KIRSTEN E BACA MD
Pain Medicine (Interventional Pain Medicine)
1407 N 2000 W
CLINTON, UT 84015
Davis County (385) 333-7123
CHRISTINE MARIE HERZOG COLEMAN ACMHCE
Counselor (Mental Health)
1407 N 2000 W, SUITE D
CLINTON, UT 84015
Davis County (801) 855-7999
YOLANDA SUE BROWN MT
Massage Therapist
1407 N 2000 W
CLINTON, UT 84015
Davis County (801) 668-5396
PHYLLIS M TRONRUD M.C.
Counselor (Professional)
1407 N 2000 W, SUITE D
CLINTON, UT 84015
Davis County (801) 971-5550

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 Glacier Peak Pain Care PLLC's NPI number?

The NPI number for Glacier Peak Pain Care PLLC is 1568909836. It was assigned to this organization in the NPPES registry on January 25, 2017.

Where is Glacier Peak Pain Care PLLC located?

Glacier Peak Pain Care PLLC is located at 1407 N 2000 W, Clinton, UT 84015. The listed phone number is (385) 333-7123.

What is Glacier Peak Pain Care PLLC's specialty?

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

Does Glacier Peak Pain Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2277181) is associated with this NPI, valid through February 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Glacier Peak Pain Care PLLC accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Glacier Peak Pain Care 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 Glacier Peak Pain Care PLLC was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.