NPIMap

Organization Active NPI

Pain Physicians of Wisconsin, SC

  • Durable Medical Equipment & Medical Supplies
  • Kenosha, WI
National Provider Identifier
1972355782
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PAIN PHYSICIANS OF WISCONSIN, SC
Practice address
10105 74TH St Ste 101
Kenosha, WI 53142-7530
Phone
(262) 297-7246
Fax
(888) 714-0578
NPI assigned
Apr 4, 2024
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
Practice Manager
Phone
(262) 297-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

10105 74TH St Ste 101
Kenosha, WI 53142-7530

Mailing address

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

National Provider Directory

National Provider Directory
Tax ID family
Pain Physicians of Wisconsin SC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1972355782",
    "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": "10105 74TH ST STE 101",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427530",
            "telephone_number": "262-297-7246",
            "fax_number": "888-714-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN PHYSICIANS OF WISCONSIN, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "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": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "262-297-7246"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.