PAIN CARE PHYSICIANS PLLC
NPI 1619530839
Clinic/Center - Ambulatory Surgical in Olympia, WA
About Pain Care Physicians Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAIN CARE PHYSICIANS PLLC (NPI 1619530839) is a healthcare organization registered as an ambulatory surgical in Olympia, Washington and active in the NPI registry since April 2019. The organization lists Kevin Moon, Director Of Revenue And Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pain Care Physicians Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
19Medicare enrollment records show 19 clinicians reassign Medicare billing to Pain Care Physicians PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (19)
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 Pain Care Physicians PLLC's NPI number?
The NPI number for Pain Care Physicians PLLC is 1619530839. It was assigned to this organization in the NPPES registry on April 15, 2019.
Where is Pain Care Physicians PLLC located?
Pain Care Physicians PLLC is located at 155 Lilly Rd NE Ste B, Olympia, WA 98506. The listed phone number is (206) 538-6300.
What is Pain Care Physicians PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Pain Care Physicians PLLC enrolled in Medicare?
Yes. Pain Care Physicians PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pain Care Physicians PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 6 Medicare specialties reassign their Medicare billing to Pain Care Physicians 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 (5), Certified Registered Nurse Anesthetist (CRNA) (4) and Pain Management (4). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pain Care Physicians PLLC was last updated on July 21, 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.
# Pain Care Physicians Pllc · NPI 1619530839
Ambulatory Surgical organization in Olympia, Washington. Organization record, active in the CMS NPPES registry since April 15, 2019.
## Identity
- **NPI:** 1619530839 (Entity type: Organization)
- **Enumerated:** April 15, 2019
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Kevin Moon, DIRECTOR OF REVENUE AND FINANCE
## Practice location
- **Address:** 155 LILLY RD NE STE B, Olympia, WA 98506-5028
- **Phone:** (206) 538-6300 · **Fax:** (206) 538-6301
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 19 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Certified Registered Nurse Anesthetist (CRNA) (4), Pain Management (4); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2025
- **Other identifiers:** Other 50C0001329 (WA); Other 1144779232
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Source: [NPI Profile](https://npiprofile.com/npi/1619530839) · Data from the CMS NPPES public registry.