Interventional Pain & Physical Medicine Clinic
NPI 1013056969 · Pain Clinic/Center · Sartell, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Interventional Pain & Physical Medicine Clinic is a Pain Clinic/Center organization in Sartell, MN (NPI 1013056969).
Provider details
- NPI number
- 1013056969
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stacy Kowalkowski, Administrator(320) 229-1500
- License
- 41961 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2015-07-14
Frequently asked questions
- What is Interventional Pain & Physical Medicine Clinic's NPI number?
- Interventional Pain & Physical Medicine Clinic's National Provider Identifier (NPI) is 1013056969, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Interventional Pain & Physical Medicine Clinic?
- Interventional Pain & Physical Medicine Clinic is classified in the NPPES registry as Pain Clinic/Center (Ambulatory Health Care Facilities).
- Where is Interventional Pain & Physical Medicine Clinic located?
- Interventional Pain & Physical Medicine Clinic's practice location on file with NPPES is 2301 Connecticut Avenue South, Sartell, MN 56377-2474.
- What is Interventional Pain & Physical Medicine Clinic's phone number?
- The practice phone number listed in the NPPES registry for Interventional Pain & Physical Medicine Clinic is (320) 229-1500.
- Does Interventional Pain & Physical Medicine Clinic accept Medicare?
- Interventional Pain & Physical Medicine Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Interventional Pain & Physical Medicine Clinic?
- The authorized official listed on Interventional Pain & Physical Medicine Clinic's NPPES record is Stacy Kowalkowski, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Interventional Pain & Physical Medicine Clinic's NPI active?
- Yes — Interventional Pain & Physical Medicine Clinic's NPI (1013056969) is active in the NPPES registry as of the last update on 2015-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.