ADVANCED PAIN CARE CLINIC PSC
ADVANCED PAIN CARE CLINIC PSC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1942378112, based in Evansville, IN. The organization lists 7 taxonomy classifications, with Interventional Pain Medicine Physician recorded as primary.
Getting there
The practice address on file is 1101 PROFESSIONAL BLVD, Evansville, IN 47714. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 01055762A | IN | Interventional Pain Medicine Physician primary |
| 01038163A | IN | Interventional Pain Medicine Physician |
| 01066166A | IN | Pain Medicine (Physical Medicine &… |
| 34004175A | IN | Clinical Social Worker |
| 01055782A | IN | Sleep Medicine (Internal Medicine)… |
| 01029835A | IN | Interventional Pain Medicine Physician |
| 01036700A | IN | Pain Medicine (Physical Medicine &… |
| 1062077A | IN | Pain Medicine (Physical Medicine &… |
| 01039387A | IN | Sleep Medicine (Internal Medicine)… |
This provider holds licence 01055762A issued in IN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 5294724191
Enrolled in Medicare 4 times, across 4 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Kentucky | O20040506001616 | Part B Supplier - Clinic/group Practice |
| Indiana | O20040902000013 | Part B Supplier - Clinic/group Practice |
| Tennessee | O20251205001704 | Part B Supplier - Clinic/group Practice |
| Mississippi | O20260131000019 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 4 separate enrolment records across 4 states (KY, IN, TN, MS). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Interventional Pain Medicine covers
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. NUCC Health Care Provider Taxonomy, code 208VP0014X
All registered taxonomy codes
This provider registers 12 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 208VP0014X | Interventional Pain Medicine Physician Interventional Pain Medicine | 01055762A | IN | primary |
| 208VP0014X | Interventional Pain Medicine Physician Interventional Pain Medicine | 01038163A | IN | |
| 363AM0700X | Medical Physician Assistant Medical | — | — | |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician Pain Medicine | 01066166A | IN | |
| 1041C0700X | Clinical Social Worker Clinical | 34004175A | IN | |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician Sleep Medicine | 01055782A | IN | |
| 208VP0014X | Interventional Pain Medicine Physician Interventional Pain Medicine | 01029835A | IN | |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician Pain Medicine | 01036700A | IN | |
| 363L00000X | Nurse Practitioner | — | — | |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician Pain Medicine | 1062077A | IN | |
| 363A00000X | Physician Assistant | — | — | |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician Sleep Medicine | 01039387A | IN |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1942378112 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Dec 4, 2006 |
| Last updated | Oct 10, 2025 |
| Status | Active |
| Practice address |
1101 PROFESSIONAL BLVD Evansville, IN 47714 (812) 477-7246 Fax (812) 477-7240 |
| Mailing address |
6426 HIGHWAY 51 N STE B Horn Lake, MS 38637 |
| Other identifiers |
65942427
· Medicaid (KY) 200497580A · Medicaid (IN) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 4 | 2 | 3 | 7 | 8 | 1 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 8 | 2 | 6 | 7 | 7 | 1 | 2 |
Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.