Collaborative Pain Management, PLLC
NPI 1356947295 · Pain Medicine Physician · Fairfax, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Collaborative Pain Management, PLLC is a Pain Medicine Physician organization in Fairfax, VA (NPI 1356947295).
Provider details
- NPI number
- 1356947295
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michelle Jacques, Managing Member(703) 261-6758
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Clinic/Center261QP3300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
- 2020-12-07
- Last updated
- 2020-12-07
- Certified
- 2020-12-03
Frequently asked questions
- What is Collaborative Pain Management, PLLC's NPI number?
- Collaborative Pain Management, PLLC's National Provider Identifier (NPI) is 1356947295, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Collaborative Pain Management, PLLC?
- Collaborative Pain Management, PLLC is classified in the NPPES registry as Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Collaborative Pain Management, PLLC located?
- Collaborative Pain Management, PLLC's practice location on file with NPPES is 10400 Eaton Pl Ste 312, Fairfax, VA 22030-2208.
- What is Collaborative Pain Management, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Collaborative Pain Management, PLLC is (703) 261-6758.
- Does Collaborative Pain Management, PLLC accept Medicare?
- Collaborative Pain Management, PLLC 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 Collaborative Pain Management, PLLC?
- The authorized official listed on Collaborative Pain Management, PLLC's NPPES record is Michelle Jacques, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Collaborative Pain Management, PLLC's NPI active?
- Yes — Collaborative Pain Management, PLLC's NPI (1356947295) is active in the NPPES registry as of the last update on 2020-12-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.