NICOLE IRENE BACK
NPI 1013756576
Nurse Practitioner - Family in Waterford, MI
About Nicole Irene Back NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE IRENE BACK (NPI 1013756576) is an individual family provider in Waterford, Michigan, licensed in Michigan (4704247636) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital, Troy, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicole Irene Back is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
16Medicare enrollment records show Nicole Back reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Commerce Twp, MI 48382
- Reassigned Medicare billing, Michigan enrollment
- 89 clinicians in this Medicare group
Waterford, MI 48329
- Reassigned Medicare billing, Michigan enrollment
- 72 clinicians in this Medicare group
Farmington Hills, MI 48336
- Reassigned Medicare billing, Michigan enrollment
- 68 clinicians in this Medicare group
Rochester Hills, MI 48309
- Reassigned Medicare billing, Michigan enrollment
- 91 clinicians in this Medicare group
Troy, MI 48084
- Reassigned Medicare billing, Michigan enrollment
- 63 clinicians in this Medicare group
Troy, MI 48085
- Reassigned Medicare billing, Michigan enrollment
- 90 clinicians in this Medicare group
Livonia, MI 48154
- Reassigned Medicare billing, Michigan enrollment
- 12 clinicians in this Medicare group
Sterling Heights, MI 48314
- Reassigned Medicare billing, Michigan enrollment
- 64 clinicians in this Medicare group
Redford, MI 48239
- Reassigned Medicare billing, Michigan enrollment
- 102 clinicians in this Medicare group
Shelby Twp, MI 48317
- Reassigned Medicare billing, Michigan enrollment
- 92 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital, Troy
Acute Care Hospitals · Troy, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48327 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WATERFORD, MI 48327
WATERFORD, MI 48327
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nicole Back's NPI number?
The NPI number for Nicole Back is 1013756576. It was assigned to this individual provider in the NPPES registry on May 23, 2024.
Where is Nicole Back located?
Nicole Back practices at 5758 Cooley Lake Rd, Waterford, MI 48327. The listed phone number is (855) 466-3631.
What is Nicole Back's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicole Back enrolled in Medicare?
Yes. Nicole Back is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Nicole Back's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Back reassigns Medicare benefits to 16 organizations: Commerce Urgent Care Walk-In Clinic (Commerce Twp, MI), Transitional Care Services, LLC (Waterford, MI), Farmington Hills Urgent Care Walk-In Clinic PC (Farmington Hills, MI), Rochester Urgent Care Walk-In Clinic (Rochester Hills, MI), Doctors Urgent Care Troy West PC (Troy, MI) and 11 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Back's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Back accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Nicole Back as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Nicole Back affiliated with any hospitals?
According to CMS data, Nicole Back is affiliated with Beaumont Hospital, Troy.
When was this NPI record last updated?
The NPPES record for Nicole Back was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nicole Irene Back · NPI 1013756576
Family physician in Waterford, Michigan. Individual provider, active in the CMS NPPES registry since May 23, 2024.
## Identity
- **NPI:** 1013756576 (Entity type: Individual)
- **Enumerated:** May 23, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704247636 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 5758 COOLEY LAKE RD, Waterford, MI 48327-3073
- **Phone:** (855) 466-3631
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 16 organizations under Medicare reassignment (form CMS-855R): Commerce Urgent Care Walk-In Clinic (NPI 1952823825, Commerce Twp, MI); Transitional Care Services, LLC (NPI 1174976807, Waterford, MI); Farmington Hills Urgent Care Walk-In Clinic PC (NPI 1144956350, Farmington Hills, MI); Rochester Urgent Care Walk-In Clinic (NPI 1225554694, Rochester Hills, MI); Doctors Urgent Care Troy West PC (NPI 1790428423, Troy, MI); and 11 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** March 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1013756576) · Data from the CMS NPPES public registry.