Indiana Pain and Wellness Center PC
NPI 1417630336 · General Practice Physician · Indianapolis, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Indiana Pain and Wellness Center PC is a General Practice Physician organization in Indianapolis, IN (NPI 1417630336).
Provider details
- NPI number
- 1417630336
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Jo Johnson, Owner(317) 580-9867
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2023-08-08
- Last updated
- 2023-08-08
- Certified
- 2023-08-08
Frequently asked questions
- What is Indiana Pain and Wellness Center PC's NPI number?
- Indiana Pain and Wellness Center PC's National Provider Identifier (NPI) is 1417630336, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Indiana Pain and Wellness Center PC?
- Indiana Pain and Wellness Center PC is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Indiana Pain and Wellness Center PC located?
- Indiana Pain and Wellness Center PC's practice location on file with NPPES is 1305 W 96th St Ste C, Indianapolis, IN 46260-1193.
- What is Indiana Pain and Wellness Center PC's phone number?
- The practice phone number listed in the NPPES registry for Indiana Pain and Wellness Center PC is (317) 580-9867.
- Does Indiana Pain and Wellness Center PC accept Medicare?
- Indiana Pain and Wellness Center PC 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 Indiana Pain and Wellness Center PC?
- The authorized official listed on Indiana Pain and Wellness Center PC's NPPES record is Mary Jo Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Indiana Pain and Wellness Center PC's NPI active?
- Yes — Indiana Pain and Wellness Center PC's NPI (1417630336) is active in the NPPES registry as of the last update on 2023-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.