Commonwealth Pain Associates, Pllc - Medicare in Louisville, KY

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Commonwealth Pain Associates, Pllc is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" provider in Louisville, Kentucky. Their current practice location is 120 Executive Park, Louisville, Kentucky. You can reach out to their office (for appointments etc.) via phone at (502) 855-7200.

Commonwealth Pain Associates, Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Commonwealth Pain Associates, Pllc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1306280177.

Contact Information

Commonwealth Pain Associates, Pllc
120 Executive Park,
Louisville, KY 40207
(502) 855-7200
(502) 855-7201

Map and Direction




Healthcare Provider's Profile

Full NameCommonwealth Pain Associates, Pllc
TypeFacility
SpecialityPain Medicine - Interventional Pain Medicine
Location120 Executive Park, Louisville, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306280177
  • Provider Enumeration Date: 04/24/2013
  • Last Update Date: 06/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0941441919
  • Enrollment ID: O20130802000577

Medical Identifiers

Medical identifiers for Commonwealth Pain Associates, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306280177NPI-NPPES
7100349390MedicaidKY
7100488260MedicaidKY
201287400BMedicaidIN
300012363MedicaidIN
300026415MedicaidIN
300027005MedicaidIN
300073973MedicaidIN
7100607850MedicaidKY
300014938MedicaidIN
201287400AMedicaidIN
7100270310MedicaidKY
1306280177MedicaidIL
201287400EMedicaidIN
300026044MedicaidIN
201287400CMedicaidIN
300061140MedicaidIN
0300626MedicaidOH
300009547MedicaidIN
300014863MedicaidIN
300050981MedicaidIN
7100318140MedicaidKY
Q091113MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Secondary
332B00000XDurable Medical Equipment & Medical Supplies (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
207L00000XAnesthesiology (* (Not Available))Secondary
207LP2900XAnesthesiology - Pain Medicine (* (Not Available))Secondary
208VP0000XPain Medicine - Pain Medicine (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
363AM0700XPhysician Assistant - Medical (* (Not Available))Secondary
367500000XNurse Anesthetist, Certified Registered (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
363LA2200XNurse Practitioner - Adult Health (* (Not Available))Secondary
208VP0014XPain Medicine - Interventional Pain Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Commonwealth Pain Associates, Pllc acts as a billing entity for following providers:
Provider NameChristina L Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205917531
PECOS PAC ID: 8123014867
Enrollment ID: I20040420001612
Provider NameBradley J Humm
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1134113756
PECOS PAC ID: 8628067725
Enrollment ID: I20040512000116
Provider NameLisa M Schmidt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508862202
PECOS PAC ID: 6204812456
Enrollment ID: I20040628000938
Provider NameMark T Gilland
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1831298918
PECOS PAC ID: 7911972484
Enrollment ID: I20040827001144
Provider NameRhonda Welenken
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417967381
PECOS PAC ID: 0749238525
Enrollment ID: I20050112000129
Provider NameRobert J Crafton
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1003868464
PECOS PAC ID: 9335199488
Enrollment ID: I20050126000518
Provider NameAngela D Mullins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578568390
PECOS PAC ID: 7618924085
Enrollment ID: I20050407000442
Provider NameBarbara Lemmons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154370856
PECOS PAC ID: 6204873458
Enrollment ID: I20050411000179
Provider NameSherri Herman
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1487648127
PECOS PAC ID: 2163448002
Enrollment ID: I20051019000994
Provider NameChad Riddle
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1023100831
PECOS PAC ID: 8325052673
Enrollment ID: I20060126000203
Provider NameKathleen Marie Stevens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912991969
PECOS PAC ID: 8527082304
Enrollment ID: I20061114000282
Provider NameJames W Jackson
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1063583268
PECOS PAC ID: 7719088277
Enrollment ID: I20070727000297
Provider NameRodney Ross Miller
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1326033705
PECOS PAC ID: 4880617372
Enrollment ID: I20080118000454
Provider NameJason Lee Fowler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1962677708
PECOS PAC ID: 7719056944
Enrollment ID: I20080514000509
Provider NameJohn R Gambrel
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1932385598
PECOS PAC ID: 1850465477
Enrollment ID: I20080730000802
Provider NameBrendon M Coughtry
Provider TypePractitioner - Interventional Pain Management
Provider IdentifiersNPI Number: 1669514840
PECOS PAC ID: 9931277472
Enrollment ID: I20081010000045
Provider NameRick Pellant
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1154389187
PECOS PAC ID: 5092877209
Enrollment ID: I20081223000239
Provider NameBetty J Alexander
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831354497
PECOS PAC ID: 9931262557
Enrollment ID: I20090108000242
Provider NameMitzi L Szemethy
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1780820902
PECOS PAC ID: 8426114034
Enrollment ID: I20090306000130
Provider NameKelley L Thomas
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1770728149
PECOS PAC ID: 9335298561
Enrollment ID: I20090519000353
Provider NameMichael Walls
Provider TypePractitioner - Interventional Pain Management
Provider IdentifiersNPI Number: 1083888325
PECOS PAC ID: 6709937626
Enrollment ID: I20090706000179
Provider NameRachel L Robbins
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1447494935
PECOS PAC ID: 5193877769
Enrollment ID: I20090713000032
Provider NameStephen K Young
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1679615686
PECOS PAC ID: 4880749779
Enrollment ID: I20090828000045
Provider NameTracy F Terrell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174754485
PECOS PAC ID: 5991851198
Enrollment ID: I20090912000083
Provider NameJason Lewis
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1720127913
PECOS PAC ID: 5496811820
Enrollment ID: I20091009000441
Provider NameRoy A Morris
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1700116415
PECOS PAC ID: 3779619333
Enrollment ID: I20100407000604
Provider NameMary Theresa Lancaster
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1316276314
PECOS PAC ID: 3678602117
Enrollment ID: I20100521000554
Provider NameMelissa A Hoehler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891015533
PECOS PAC ID: 7315070729
Enrollment ID: I20100805000873
Provider NameKristin P Boothe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902118789
PECOS PAC ID: 8921122144
Enrollment ID: I20100825000257
Provider NameBrandie L Dotson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528083813
PECOS PAC ID: 9638168396
Enrollment ID: I20101206000692
Provider NameShelly Popham Stiles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922318484
PECOS PAC ID: 2466641949
Enrollment ID: I20110114000141
Provider NameJessica M Stinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477854115
PECOS PAC ID: 1759562788
Enrollment ID: I20110224000375
Provider NameDana Smith
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1619113859
PECOS PAC ID: 8820153356
Enrollment ID: I20110309000530
Provider NameDaniel Reynolds
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1528100625
PECOS PAC ID: 3971773185
Enrollment ID: I20110825000712
Provider NameAngela Clater
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104199215
PECOS PAC ID: 0749472348
Enrollment ID: I20120327000947
Provider NameChristian Unick
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1619162104
PECOS PAC ID: 5890959316
Enrollment ID: I20120706000258
Provider NameJacqueline K Pardue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588943849
PECOS PAC ID: 5193976967
Enrollment ID: I20121105000382
Provider NameWesley Henderson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1174877377
PECOS PAC ID: 9032362785
Enrollment ID: I20130109000409
Provider NamePaula M Devore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013251370
PECOS PAC ID: 9537312764
Enrollment ID: I20130119000012
Provider NameGwendolynn N Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205187333
PECOS PAC ID: 9133373293
Enrollment ID: I20130126000012
Provider NameEric T Vessels
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1033351820
PECOS PAC ID: 3678714425
Enrollment ID: I20130722000128
Provider NameMarlena Langford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194168930
PECOS PAC ID: 2466696125
Enrollment ID: I20130918000756
Provider NameApril Brooke Hester
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1619308046
PECOS PAC ID: 8325278260
Enrollment ID: I20140220001216
Provider NameAngela L Gipson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316360159
PECOS PAC ID: 2567693468
Enrollment ID: I20140318000564
Provider NameAndrea Medearis
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1962814616
PECOS PAC ID: 8921225442
Enrollment ID: I20140806002797
Provider NameRita K Wilson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558764928
PECOS PAC ID: 9436370673
Enrollment ID: I20141031001259
Provider NameMegan L. Kepley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407253081
PECOS PAC ID: 3870817174
Enrollment ID: I20150114002262
Provider NameAndrea M Broughton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104177005
PECOS PAC ID: 8820312911
Enrollment ID: I20150120002002
Provider NameTorie Autumn Hatton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720482409
PECOS PAC ID: 7416271465
Enrollment ID: I20150121001994
Provider NameAryn E. Lee-carter
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1548667496
PECOS PAC ID: 5597080945
Enrollment ID: I20150206001214
Provider NameWilliam D Hudson
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1578504734
PECOS PAC ID: 6709821960
Enrollment ID: I20150210001905
Provider NameJennifer Priest Wiseman
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1538565742
PECOS PAC ID: 7012233091
Enrollment ID: I20150310002048
Provider NameJodi L Carney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508245960
PECOS PAC ID: 7113248683
Enrollment ID: I20150609001788
Provider NameMark Conliffe
Provider TypePractitioner - Osteopathic Manipulative Medicine
Provider IdentifiersNPI Number: 1417243999
PECOS PAC ID: 9537480827
Enrollment ID: I20150611003384
Provider NameNicolaus D Winters
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1750522660
PECOS PAC ID: 9335381821
Enrollment ID: I20150910001519
Provider NameJenna L Dismore Wrinkles
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1780909952
PECOS PAC ID: 1951618768
Enrollment ID: I20150910002736
Provider NameHeather A. Johnson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1679938047
PECOS PAC ID: 2163724790
Enrollment ID: I20160113001540
Provider NameHeather J Morrison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801145230
PECOS PAC ID: 4789833765
Enrollment ID: I20160119000287
Provider NameAllison L Hogue
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083056220
PECOS PAC ID: 4981907813
Enrollment ID: I20160126002190
Provider NameMichelle Sims
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255703922
PECOS PAC ID: 9032429717
Enrollment ID: I20160204000780
Provider NameChristopher L Hurley
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1326410903
PECOS PAC ID: 0042518193
Enrollment ID: I20160406000945
Provider NameTimothy Mims
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1083692982
PECOS PAC ID: 1850377532
Enrollment ID: I20160419001179
Provider NameStephen F Mcfarland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184959132
PECOS PAC ID: 1759419872
Enrollment ID: I20160927000979
Provider NameJoan Haley Douglas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346793528
PECOS PAC ID: 8628358033
Enrollment ID: I20161130002178
Provider NameJohnna C Shown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316398977
PECOS PAC ID: 4486934569
Enrollment ID: I20161207000473
Provider NameMegan Danielle Abel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033574983
PECOS PAC ID: 6507162823
Enrollment ID: I20161215001645
Provider NameMichele Deann Blair
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073055901
PECOS PAC ID: 5395026926
Enrollment ID: I20161219002840
Provider NameChristina M Wills
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003351586
PECOS PAC ID: 8325320708
Enrollment ID: I20170119001078
Provider NameChelsea Thorn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013451277
PECOS PAC ID: 6507148939
Enrollment ID: I20170119002871
Provider NameCallie Jo Jervis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841739125
PECOS PAC ID: 0446534713
Enrollment ID: I20170306000533
Provider NameAmber D Easley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922548981
PECOS PAC ID: 5597040527
Enrollment ID: I20170314001019
Provider NameBrandi Nicole Adkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508305715
PECOS PAC ID: 7214213917
Enrollment ID: I20170412000869
Provider NameBrandon E Gish
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1558629410
PECOS PAC ID: 6709104490
Enrollment ID: I20170421001331
Provider NameDonna C Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235100769
PECOS PAC ID: 6103830302
Enrollment ID: I20170426002707
Provider NameAmy K Bolling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881738169
PECOS PAC ID: 1951409861
Enrollment ID: I20170503002495
Provider NameAlanna Marie Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831621663
PECOS PAC ID: 1850661158
Enrollment ID: I20170719002613
Provider NameTrisha Ann Spray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447773320
PECOS PAC ID: 5597037283
Enrollment ID: I20170815003132
Provider NameVictoria M Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699282988
PECOS PAC ID: 9931469541
Enrollment ID: I20180130001811
Provider NameKatie Burns
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1912415951
PECOS PAC ID: 0547520348
Enrollment ID: I20180215000988
Provider NameMichele Mcclure
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538672373
PECOS PAC ID: 9537421755
Enrollment ID: I20180405001621
Provider NameJohn A Gardner
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1770826299
PECOS PAC ID: 2769624253
Enrollment ID: I20180604002673
Provider NameJulia Caldwell
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1215137500
PECOS PAC ID: 8628124120
Enrollment ID: I20180822003861
Provider NameLaura Ann Stewart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841543923
PECOS PAC ID: 5890948178
Enrollment ID: I20181025003146
Provider NameVirginia Ann Marcum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619463270
PECOS PAC ID: 1850644188
Enrollment ID: I20181102000484
Provider NameKasey Fawbush
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295201770
PECOS PAC ID: 3476807736
Enrollment ID: I20181126003717
Provider NameTonya Jo Harper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821268137
PECOS PAC ID: 2466531264
Enrollment ID: I20181203003435
Provider NameBrittany Howard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932676004
PECOS PAC ID: 1153666094
Enrollment ID: I20181220001003
Provider NameAngel Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063985984
PECOS PAC ID: 5294072468
Enrollment ID: I20190125000950
Provider NameBrittany Nichol Harrison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164783387
PECOS PAC ID: 0143471979
Enrollment ID: I20190201001928
Provider NameRebecca Ann Francis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316404296
PECOS PAC ID: 4486995859
Enrollment ID: I20190411002144
Provider NameJoseph Folz
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1881013647
PECOS PAC ID: 1951603372
Enrollment ID: I20190515002196
Provider NameAbby Elizabeth Lenhart
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588189211
PECOS PAC ID: 4183967011
Enrollment ID: I20190516002518
Provider NameChelsea Bentley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538723242
PECOS PAC ID: 4183967516
Enrollment ID: I20190528000882
Provider NameToni Nicole Wright
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598227175
PECOS PAC ID: 6901149228
Enrollment ID: I20190529002514
Provider NameTracey Frederick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568012896
PECOS PAC ID: 1254763923
Enrollment ID: I20191118003249
Provider NameStephanie Sumner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013550060
PECOS PAC ID: 6608200522
Enrollment ID: I20200102000331
Provider NameMaddalynn Bailey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396382578
PECOS PAC ID: 6608201462
Enrollment ID: I20200124001168
Provider NameChristie Hobson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003467077
PECOS PAC ID: 1759717341
Enrollment ID: I20200129002715
Provider NameKelsey Kelsey Downton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962048694
PECOS PAC ID: 2163856097
Enrollment ID: I20200214001859
Provider NameLawanna L Mcguire
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083262349
PECOS PAC ID: 3678900099
Enrollment ID: I20200225001534
Provider NameMelanie Dawn Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205187861
PECOS PAC ID: 0042648966
Enrollment ID: I20200306002029
Provider NameAdam Prewitt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417589706
PECOS PAC ID: 4486082047
Enrollment ID: I20200312001614
Provider NameErin Fuhrer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609407964
PECOS PAC ID: 2567898539
Enrollment ID: I20200330000329
Provider NameRachael Koebel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780214825
PECOS PAC ID: 6103256169
Enrollment ID: I20200415003235
Provider NameAndrea Homer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104468164
PECOS PAC ID: 5890126411
Enrollment ID: I20200515000863
Provider NameKaty Leanne Marcum
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427676618
PECOS PAC ID: 7719301241
Enrollment ID: I20200716003353
Provider NameLeeann Rachelle Roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831710581
PECOS PAC ID: 2163853102
Enrollment ID: I20200803000999
Provider NameBrittany Tackett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174173538
PECOS PAC ID: 8224453295
Enrollment ID: I20200807001480
Provider NameMichelle Lee Blackburn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578111514
PECOS PAC ID: 2365868213
Enrollment ID: I20200821002410
Provider NameKristie Lynn Hale
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740880640
PECOS PAC ID: 9032529961
Enrollment ID: I20201104003077
Provider NameAngela Coffman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811503410
PECOS PAC ID: 6406267707
Enrollment ID: I20201117002321
Provider NameAshley Ricketts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326641499
PECOS PAC ID: 8729490107
Enrollment ID: I20201208002304
Provider NameJulie E Lawrence
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538764451
PECOS PAC ID: 8123430170
Enrollment ID: I20201215002725
Provider NameKristy Faith Statzer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649877275
PECOS PAC ID: 3476966045
Enrollment ID: I20201229001685
Provider NameTerry Lynn Humphries
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750801544
PECOS PAC ID: 2769895457
Enrollment ID: I20210122001477
Provider NameApril Louise Mcdonald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336756386
PECOS PAC ID: 0446664072
Enrollment ID: I20210127000792
Provider NameCandice Y Gray-cunningham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225632904
PECOS PAC ID: 8325452600
Enrollment ID: I20210127002889
Provider NameShawn T Milburn
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1841652872
PECOS PAC ID: 0143636902
Enrollment ID: I20210303001166
Provider NameChristopher Anderson
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1992159040
PECOS PAC ID: 9436447059
Enrollment ID: I20210304001965
Provider NameTessa Hines
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922697531
PECOS PAC ID: 3971919218
Enrollment ID: I20210310002231
Provider NameChristopher M Pircher
Provider TypePractitioner - Nurse Practitioner
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PECOS PAC ID: 2163839960
Enrollment ID: I20210323002726
Provider NameWhitney Hatfield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588019210
PECOS PAC ID: 8325330046
Enrollment ID: I20210324001528
Provider NameNicole S Gagnaire-baker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427184217
PECOS PAC ID: 9436310588
Enrollment ID: I20210601002779
Provider NameKatherine Williams
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1902250475
PECOS PAC ID: 3971896010
Enrollment ID: I20210712003543
Provider NameAmanda M Melvin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689285868
PECOS PAC ID: 3173943677
Enrollment ID: I20210817002366
Provider NameJoel Robertson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619554128
PECOS PAC ID: 6305241159
Enrollment ID: I20210817004109
Provider NameCynthia R Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710557038
PECOS PAC ID: 8426453911
Enrollment ID: I20210820003077
Provider NameEdwin Hancock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255009379
PECOS PAC ID: 2365848744
Enrollment ID: I20210909003647
Provider NameSimone G Mccormack
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245994011
PECOS PAC ID: 7810386992
Enrollment ID: I20211111002710
Provider NameCameron Paige Dawson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417521352
PECOS PAC ID: 4284023995
Enrollment ID: I20211118002784
Provider NameErica Lowry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194481630
PECOS PAC ID: 8325437981
Enrollment ID: I20220112002834
Provider NameAmanda Lauren Mattingly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194495168
PECOS PAC ID: 6406242585
Enrollment ID: I20220330001501
Provider NameZachary Klinger
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1831620319
PECOS PAC ID: 2163819350
Enrollment ID: I20220418000475
Provider NameTracy Lynne Hutchinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265161400
PECOS PAC ID: 7416339189
Enrollment ID: I20220728001164
Provider NameKayce Daugherty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750011284
PECOS PAC ID: 5092198242
Enrollment ID: I20220819002770
Provider NameRudy M Malayil
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1114151347
PECOS PAC ID: 8325266760
Enrollment ID: I20220915001628
Provider NameHollie Gray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073153912
PECOS PAC ID: 2466880695
Enrollment ID: I20221101000655
Provider NameKasey Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033824396
PECOS PAC ID: 6406228303
Enrollment ID: I20230201003302
Provider NameJessica Riley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386250629
PECOS PAC ID: 9234518820
Enrollment ID: I20230324001656
Provider NameMelanie Leigh Lampton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104554252
PECOS PAC ID: 7517324767
Enrollment ID: I20230605000694
Provider NameMary Katherine Hale
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356020234
PECOS PAC ID: 9133580483
Enrollment ID: I20230802002601
Provider NameDeborah Tapp
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194206789
PECOS PAC ID: 9436402328
Enrollment ID: I20230911001034
Provider NameKendall Messmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578346029
PECOS PAC ID: 9436503737
Enrollment ID: I20231005000911
Provider NameSarah Seaton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275086324
PECOS PAC ID: 1456628452
Enrollment ID: I20240113000449
Provider NameLinda Johnston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992565303
PECOS PAC ID: 0042659625
Enrollment ID: I20240416000404
Provider NameViolet Shackleford
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1821593724
PECOS PAC ID: 4880939552
Enrollment ID: I20240524003035
Provider NameIris Simbulan
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1265050603
PECOS PAC ID: 6305382870
Enrollment ID: I20240719002510
Provider NamePaige Schroder
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1720548167
PECOS PAC ID: 6305187006
Enrollment ID: I20240722003317
Provider NameMadalyn Anne Weissend
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366294696
PECOS PAC ID: 2365982584
Enrollment ID: I20240913001729
Provider NameAlexandria Goldsberry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780403055
PECOS PAC ID: 9931632098
Enrollment ID: I20241028002203
Provider NameMelissa Fuquay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952385791
PECOS PAC ID: 9537188149
Enrollment ID: I20241119002959
Provider NameChelsea Cummins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992109631
PECOS PAC ID: 0446573877
Enrollment ID: I20241205002492
Provider NameTiffany Ballington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093470296
PECOS PAC ID: 3375920002
Enrollment ID: I20250121000325
Provider NameJustin Hutcheson
Provider TypePractitioner - Interventional Pain Management
Provider IdentifiersNPI Number: 1154421915
PECOS PAC ID: 1557307469
Enrollment ID: I20250122000326
Provider NameAmy Ash
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053928903
PECOS PAC ID: 0345398707
Enrollment ID: I20250123002585
Provider NameDaphne Areephanthu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073104790
PECOS PAC ID: 2062827512
Enrollment ID: I20250206000209
Provider NameReajean C Camacho
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134497159
PECOS PAC ID: 8224396593
Enrollment ID: I20250206001955
Provider NameChristina Garrett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326434283
PECOS PAC ID: 0042517567
Enrollment ID: I20250214000472
Provider NameNisarg Patel
Provider TypePractitioner - Pain Management
Provider IdentifiersNPI Number: 1760979983
PECOS PAC ID: 2062767718
Enrollment ID: I20250218001324
Provider NameToshiva Shippy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902540172
PECOS PAC ID: 4183001084
Enrollment ID: I20250220000841

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Commonwealth Pain Associates, Pllc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Commonwealth Pain Associates, Pllc
Po Box 21890,
Belfast, ME 04915-4115

Ph: (502) 907-0356		Commonwealth Pain Associates, Pllc
120 Executive Park,
Louisville, KY 40207

Ph: (502) 855-7200

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.