Pain and Wellness Institute of Kentucky LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

PAIN AND WELLNESS INSTITUTE OF KENTUCKY LLC

Practice address

10302 Brookridge Village Blvd Ste 103-104
Louisville, KY 40291-4475

Phone

(502) 576-5300

Fax

(502) 576-5376

NPI assigned

Jun 8, 2022

Last updated

Mar 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristal Wilson, MDNPI 1578853602

Title

Owner

Phone

(502) 876-6474

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in KY2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristal Lee Ann Wilson, MD

  • Interventional Pain Medicine Physician
  • Louisville, KY
  • NPI 1578853602

  General Practice

  Medicare reassignment NPD Authorized official
• Melissa Hoehler, ARNP

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1891015533
  Medicare reassignment NPD
• Stephanie Lynn McLaurine, APRN

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1366135139
  Medicare reassignment NPD
• Stephanie Tichenor, ARNP

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1013111939
  Medicare reassignment

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1336878909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10302 BROOKRIDGE VILLAGE BLVD STE 103-104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914475",
            "telephone_number": "502-576-5300",
            "fax_number": "502-576-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10302 BROOKRIDGE VILLAGE BLVD STE 103-104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914475",
            "telephone_number": "502-576-5300",
            "fax_number": "502-576-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND WELLNESS INSTITUTE OF KENTUCKY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KRISTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-876-6474",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerricca Darlene Paige, RBT
• Willis Paige, CSA
• Rejith Paily, M.D.
• Romith Paily
• Pain and Performance Solutions LLC
• Pain Care Surgery of Louisville, LLC (Center for Specialty Surgery of Louisville)
• Pain Control Network, PSC
• Pain Management Centers of America, PSC
• Pain Management Consultants, LLC
• Pain Management Kentucky PSC

• Interventional Pain Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Interventional Pain Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.