Central Iowa Pain & Wellness LLC

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

Legal business name

CENTRAL IOWA PAIN & WELLNESS LLC

Practice address

400 Main St
Ames, IA 50010-6487

Phone

(515) 468-2427

NPI assigned

Oct 27, 2025

Organization subpart

No

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

Authorized official

Name

Jacob Miller, ARNPNPI 1992110498

Title

Ceo

Phone

(515) 468-2427

Specialties & licenses 3

Addresses

Other names 1

• ReNova Health Clinics Doing business as

Tax ID family

Central Iowa Pain Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Central Iowa Pain & Wellness LLC

  • Pain Clinic/Center
  • Ames, IA
  • NPI 1306661780
  NPD tax ID

Locations

Practitioners 1

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

• Jacob Matthew Miller, CRNA

  • Certified Registered Nurse Anesthetist
  • Ames, IA
  • NPI 1992110498
  NPD Authorized official

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1821966334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MAIN ST",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106487",
            "telephone_number": "515-468-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MAIN ST",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106487",
            "telephone_number": "515-468-2427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15820 Shaddock Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347875776",
            "country_code": "US",
            "telephone_number": "515-468-2427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL IOWA PAIN & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "515-468-2427",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReNova Health Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Caviness, LISW, ACSW
• CCRC of Ames LLC
• CCST, LLC
• Shealyn Cecil
• Central Iowa Pain & Wellness LLC
• Madison Renae Chafa
• Chaz Chambers, DDS
• Kelly M Champion, PH.D.
• Deanna Channell
• Daniel E Chavarria, LMHC

• Integrative Medicine Physician in Ames, IA
• Providers in Ames, IA by specialty
• Integrative Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.