NPIMap

Organization Active NPI

Pain Physicians of Wisconsin, SC

  • Interventional Pain Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1679119689
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PAIN PHYSICIANS OF WISCONSIN, SC
Practice address
2500 W Layton Ave Ste 200
Milwaukee, WI 53221-5434
Phone
(262) 297-7246
Fax
(888) 714-0578
NPI assigned
Nov 25, 2019
Last updated
Sep 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
Melissa L Beardsley
Title
Admin
Phone
(608) 291-4866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

2500 W Layton Ave Ste 200
Milwaukee, WI 53221-5434

Mailing address

2500 W Layton Ave Ste 200
Milwaukee, WI 53221-5434
Phone (262) 297-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200217000836 WI Part B Supplier - Clinic/Group Practice 9537596341 Receives reassigned benefits from 40 practitioners
Practice locations: Waukesha, WI; Platteville, WI; Milwaukee, WI; Kenosha, WI; Franklin, WI
O20220125001393 WI DME Supplier - Physician - Interventional Pain Management 9537596341 Practice locations: Milwaukee, WI

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

1616 N Casaloma Dr
#100
Appleton, WI 54913

4202 W Oakwood Park Ct
Ste 110
Franklin, WI 53132
Phone 26229772461310

6308 8th Ave
Ste 1040
Kenosha, WI 53143
Phone (262) 653-5437

1200 Delafield St
Waukesha, WI 53188
Phone (262) 297-0724

Practitioners & affiliated clinicians

Practitioners 46

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.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1679119689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W LAYTON AVE STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532215434",
            "telephone_number": "262-297-7246",
            "fax_number": "888-714-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W LAYTON AVE STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532215434",
            "telephone_number": "262-297-7246",
            "fax_number": "888-714-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN PHYSICIANS OF WISCONSIN, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "BEARDSLEY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "608-291-4866"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.