Pain Specialist of Minnesota
NPI 1508562240 · Family Nurse Practitioner · St Louis Park, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pain Specialist of Minnesota is a Family Nurse Practitioner organization in St Louis Park, MN (NPI 1508562240).
Provider details
- NPI number
- 1508562240
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Mark Stock, Ceo(651) 238-8580
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2023-02-03
- Last updated
- 2025-01-22
- Certified
- 2025-01-22
Frequently asked questions
- What is Pain Specialist of Minnesota's NPI number?
- Pain Specialist of Minnesota's National Provider Identifier (NPI) is 1508562240, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pain Specialist of Minnesota?
- Pain Specialist of Minnesota is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Pain Specialist of Minnesota located?
- Pain Specialist of Minnesota's practice location on file with NPPES is 5810 Excelsior Blvd, St Louis Park, MN 55416-2830.
- What is Pain Specialist of Minnesota's phone number?
- The practice phone number listed in the NPPES registry for Pain Specialist of Minnesota is (612) 235-6008.
- Does Pain Specialist of Minnesota accept Medicare?
- Pain Specialist of Minnesota 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 Pain Specialist of Minnesota?
- The authorized official listed on Pain Specialist of Minnesota's NPPES record is Mark Stock, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pain Specialist of Minnesota's NPI active?
- Yes — Pain Specialist of Minnesota's NPI (1508562240) is active in the NPPES registry as of the last update on 2025-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.