Organization Active NPI

Total Body Pain Institute

  • Pain Medicine (Anesthesiology) Physician
  • Grand Island, NE
National Provider Identifier
1174143267
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
TOTAL BODY PAIN INSTITUTE
Practice address
826 N Diers Ave
Grand Island, NE 68803-4955
Phone
(308) 708-2826
NPI assigned
Apr 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jessica Singer
Title
Office Manager
Phone
(505) 250-9790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

826 N Diers Ave
Grand Island, NE 68803-4955

Mailing address

PO Box 5492
Grand Island, NE 68802-5492
Phone (505) 250-9790

Other practice location 1

2908 W 39th St Ste D
Kearney, NE 68845-1245
Phone (308) 455-8023

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica@totalpaininstitute.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200714002125 NE Part B Supplier - Clinic/Group Practice 0749603439 Receives reassigned benefits from 1 practitioner
Practice locations: Grand Island, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2223532Total Body Pain Institute826 N Diers Ave, Grand Island, NE 68803Certificate of waiverMay 6, 2027

National Provider Directory

National Provider Directory

Locations

826 N Diers Ave
Grand Island, NE 68803
Phone (308) 675-1300

2908 W 39th St
Ste D
Kearney, NE 68845
Phone (308) 236-0507

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0b6b0303-cbdd-4ff9-91bf-eeb5a4c8911b/

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1174143267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5492",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688025492",
            "telephone_number": "505-250-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 N DIERS AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034955",
            "telephone_number": "308-708-2826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2908 W 39th St Ste D",
            "address_purpose": "LOCATION",
            "city": "Kearney",
            "state": "NE",
            "postal_code": "688451245",
            "country_code": "US",
            "telephone_number": "308-455-8023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TOTAL BODY PAIN INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "SINGER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "505-250-9790"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica@totalpaininstitute.com",
            "affiliation": "N",
            "address_1": "826 N Diers Ave",
            "city": "Grand Island",
            "state": "NE",
            "country_code": "US",
            "postal_code": "688034955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.