RENUVA BACK AND PAIN CENTER
NPI 1801155486
Nurse Practitioner in Overland Park, KS
About Renuva Back And Pain Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENUVA BACK AND PAIN CENTER (NPI 1801155486) is a healthcare organization registered as a nurse practitioner in Overland Park, Kansas and active in the NPI registry since May 2012. The organization lists Michael Green, Associate D.c., as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
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)
Renuva Back And Pain Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Renuva Back And Pain Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS 4
Medicare supplier enrollment and the product categories Renuva Back And Pain Centers carries, from the Medicare DMEPOS supplier directory.
Renuva Back And Pain Centers
DMEPOS supplier · Overland Park, KSOperated by Renuva Health, LLCDoes not accept Medicare assignment
Renuva Back And Pain Centers has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.
Medicare Product Categories
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 Renuva Health LLC's NPI number?
The NPI number for Renuva Health LLC is 1801155486. It was assigned to this organization in the NPPES registry on May 16, 2012. The provider is doing business as Renuva Back And Pain Center.
Where is Renuva Health LLC located?
Renuva Health LLC is located at 4400 College Blvd Ste 150, Overland Park, KS 66211. The listed phone number is (913) 667-2298.
What is Renuva Health LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Renuva Health LLC enrolled in Medicare?
Yes. Renuva Health LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Renuva Health LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Renuva Health 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Renuva Health LLC accept Medicare assignment for medical equipment?
No. As a Medicare medical equipment supplier, Renuva Back And Pain Centers does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.
When was this NPI record last updated?
The NPPES record for Renuva Health LLC was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Renuva Back And Pain Center · NPI 1801155486
Nurse Practitioner organization in Overland Park, Kansas. Organization record, active in the CMS NPPES registry since May 16, 2012.
## Identity
- **NPI:** 1801155486 (Entity type: Organization)
- **Enumerated:** May 16, 2012
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Legal business name:** Renuva Health Llc
- **Organization subpart:** No
- **Authorized official:** Michael Green, ASSOCIATE D.C.
## Practice location
- **Address:** 4400 COLLEGE BLVD STE 150, Overland Park, KS 66211-2326
- **Phone:** (913) 667-2298
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1801155486) · Data from the CMS NPPES public registry.