DANIELLA BACK
NPI 1073275202
Nurse Practitioner - Primary Care in Salem, OR

Active since October 05, 2021PECOS EnrolledAccepts Medicare Assignment
5050 SKYLINE VILLAGE LOOP S, SALEM, OR 97306(503) 391-1110 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2024, Oct 5, 2021 (2 updates tracked since 2021).

About Daniella Back NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIELLA BACK (NPI 1073275202) is an individual primary care provider in Salem, Oregon, licensed in Oregon (10031096) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Salem Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1073275202
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameDANIELLA BACK
Location Address5050 SKYLINE VILLAGE LOOP SSalem, OR 97306-9490
Mailing Address5050 Skyline Village Loop SSalem, OR 97306-9490
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 5, 2021
Last NPPES UpdateAugust 12, 20242 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
NPI 1073275202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in OR · 10031096
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 10031096 (OR)
5050 SKYLINE VILLAGE LOOP S, Salem, OR 97306

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Daniella 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.

PECOS PAC ID8022557347
PECOS Enrollment IDI20240829003078
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Salem Hospital

Acute Care Hospitals · Salem, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380051
Location890 Oak Street, SESalem, OR 97301 · Marion County
Emergency services Birthing friendly

West Valley Hospital

Critical Access Hospitals · Dallas, OR
OwnershipVoluntary non-profit - Private
CMS Certification Number381308
Location525 SE Washington StreetDallas, OR 97338 · Polk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97306 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
5050 SKYLINE VILLAGE LOOP S
SALEM, OR 97306
Internal Medicine
5050 SKYLINE VILLAGE LOOP S
SALEM, OR 97306
Surgery
5050 SKYLINE VILLAGE LOOP S
SALEM, OR 97306
Physician Assistant
5050 SKYLINE VILLAGE LOOP S
SALEM, OR 97306
Family Medicine
5050 SKYLINE VILLAGE LOOP S
SALEM, OR 97306
Physician Assistant
5050 SKYLINE VILLAGE LOOP S
SALEM, OR 97306
Nurse Practitioner (Psychiatric/Mental Health)
5050 SKYLINE VILLAGE LOOP S
SALEM, OR 97306
Family Medicine
5050 SKYLINE VILLAGE LOOP S
SALEM, OR 97306

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 Daniella Back's NPI number?

The NPI number for Daniella Back is 1073275202. It was assigned to this individual provider in the NPPES registry on October 5, 2021.

Where is Daniella Back located?

Daniella Back practices at 5050 Skyline Village Loop S, Salem, OR 97306. The listed phone number is (503) 391-1110.

What is Daniella Back's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Daniella Back enrolled in Medicare?

Yes. Daniella 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.

What insurance does Daniella Back accept?

Health plans from Moda Health Plan, Inc. list Daniella 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 Daniella Back affiliated with any hospitals?

According to CMS data, Daniella Back is affiliated with Salem Hospital and West Valley Hospital.

When was this NPI record last updated?

The NPPES record for Daniella Back was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.