COLORADO RIVER PAIN MANAGEMENT LLC
NPI 1639405756
Clinic/Center - Pain in Lake Havasu City, AZ

Active since October 23, 2009
1951 MESQUITE AVE, SUITE I, LAKE HAVASU CITY, AZ 86403(928) 453-3267(928) 453-3276 Get Directions Write a Review

NPPES record last updated: November 5, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Colorado River Pain Management Llc NPPES

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

COLORADO RIVER PAIN MANAGEMENT LLC (NPI 1639405756) is a healthcare organization registered as a pain in Lake Havasu City, Arizona and active in the NPI registry since October 2009. The organization lists Judith A Spillane, Administrator, as its authorized official.

NPPES Registry Identity

NPI1639405756
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameCOLORADO RIVER PAIN MANAGEMENT LLC
Location Address1951 MESQUITE AVE, SUITE ILake Havasu City, AZ 86403-5746
Mailing Address1951 Mesquite Ave, Suite ILake Havasu City, AZ 86403-5746 · (928) 453-3267 · Fax (928) 453-3276
Fax(928) 453-3276
Organization SubpartNo
Authorized OfficialJudith A SpillaneAdministrator · (928) 453-3267
Enumeration DateOctober 23, 2009
Last NPPES UpdateNovember 5, 2009
✔ NPI 1639405756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
License✔ Licensed in AZ · 26109
1951 MESQUITE AVE, Lake Havasu City, AZ 86403

Other Identifiers 1

Medicare UPING71877AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colorado River Pain Management Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Colorado River Pain Management LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pain Management
NPI 1568456473
1840 MESQUITE AVE STE B
Lake Havasu City, AZ 86403
(928) 846-7097
✔ PECOS✔ Accepts Medicare0.1 mi

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 Colorado River Pain Management LLC's NPI number?

The NPI number for Colorado River Pain Management LLC is 1639405756. It was assigned to this organization in the NPPES registry on October 23, 2009.

Where is Colorado River Pain Management LLC located?

Colorado River Pain Management LLC is located at 1951 Mesquite Ave Suite I, Lake Havasu City, AZ 86403. The listed phone number is (928) 453-3267.

What is Colorado River Pain Management LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

Is Colorado River Pain Management LLC enrolled in Medicare?

Yes. Colorado River Pain Management LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Colorado River Pain Management LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Pain Management) reassigns their Medicare billing to Colorado River Pain Management LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Colorado River Pain Management LLC was last updated on November 5, 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.