SHANNON LYNN BACKSTROM CNP
NPI 1093787616
Nurse Practitioner - Perinatal in Sioux Falls, SD
NPI Status: Active since February 07, 2006
Contact Information
1417 S. CLIFF AVE.
STE. 100
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-8937
Fax: (605) 322-8938
- Individual
- Female
- Nurse Practitioner
- Perinatal
- Accepts Insurance
- PECOS Enrolled
About SHANNON BACKSTROM
This page provides the complete NPI Profile along with additional information for Shannon Backstrom, a provider established in Sioux Falls, South Dakota with a medical specialization in Nurse Practitioner, focusing in perinatal . The healthcare provider is registered in the NPI registry with number 1093787616 assigned on February 2006. The practitioner's primary taxonomy code is 363LP1700X with license number CP000442 (SD). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1093787616
- Provider Name
- SHANNON LYNN BACKSTROM CNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1417 S. CLIFF AVE. STE. 100 SIOUX FALLS, SD 57105
- Location Phone
- (605) 322-8937
- Location Fax
- (605) 322-8938
- Mailing Address
- PO BOX 86370 SIOUX FALLS, SD 57118
- Mailing Phone
- (605) 322-7510
- Mailing Fax
- (605) 322-8938
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-07-2006
- Last Update Date
- 10-10-2018
- Code Navigator
A nurse practitioner (NP) like Shannon Backstrom is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Perinatal
- Taxonomy Code
- 363LP1700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- CP000442
- License State
- SD
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- ConnectPlus $0 Gold - PPO
- ConnectPlus $0 Silver - PPO
- ConnectPlus $10,600 HSA Eligible HDHP - PPO
- ConnectPlus $1800 - PPO
- ConnectPlus $4500 - PPO
- ConnectPlus $6500 HSA Eligible HDHP - PPO
- ConnectPlus $7500 HSA Eligible HDHP - PPO
- ConnectPlus MyWeighForward $2000 - PPO
- ConnectPlus MyWeighForward $6000 - PPO
- ConnectPlus Standard $2000 - PPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 248007 | OTHER (01) | SD | BLUE CROSS |
| 0407827 | OTHER (01) | SD | MEDICA |
| 248007 | OTHER (01) | SD | MIDLANDS CHOICE |
| 283761045259 | OTHER (01) | SD | PREFERRED ONE |
| HP55697 | OTHER (01) | SD | HEALTHPARTNERS |
| 83G56BE | OTHER (01) | MN | CC SYSTEMS/ BLUE PLUS |
| 57105AD05 | OTHER (01) | SD | WPS TRICARE |
| 9244760 | OTHER (01) | SD | DAKOTACARE |
| 370624200 | OTHER (01) | SD | DEPT OF LABOR |
| 10025040700 | MEDICAID (05) | NE | |
| 6828300 | MEDICAID (05) | SD | |
| 0503706 | MEDICAID (05) | IA | |
| 83G56BE | OTHER (01) | MN | BLUE CROSS |
| 2387949 | OTHER (01) | SD | ARAZ/ AMERICA'S PPO |
| 6828302 | MEDICAID (05) | SD | |
| 400070600 | MEDICAID (05) | MN | |
| 924114229808 | OTHER (01) | MN | PRIMEWEST |
Medicare Participation & PECOS Enrollment Status
Shannon Backstrom is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 57105 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.21
- Minimum New Patient Price $55.52
- Maximum New Patient Price $167.23
- Average New Patient Copayment $21.3
- Minimum New Patient Copayment $13.88
- Maximum New Patient Copayment $41.8
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.88
- Minimum Established Patient Price $18.08
- Maximum Established Patient Price $137.08
- Average Established Patient Copayment $24.47
- Minimum Established Patient Copayment $4.52
- Maximum Established Patient Copayment $34.27
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1093787616, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093787616, enumerated as an "individual" on February 07, 2006.
The provider is located at 1417 S. CLIFF AVE. STE. 100 SIOUX FALLS, SD 57105 and the phone number is (605) 322-8937.
Nurse Practitioner with taxonomy code 363LP1700X and a focus in Perinatal.
The provider might be accepting Accepts: Avera Health Plans, Medica, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.
