MRS. JACKLYN SUSAN BACKHAUS AGACNP-BC
NPI 1104631506
Nurse Practitioner in Mauston, WI
About Mrs. Jacklyn Susan Backhaus Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JACKLYN SUSAN BACKHAUS AGACNP-BC (NPI 1104631506) is an individual nurse practitioner in Mauston, Wisconsin, licensed in Wisconsin (16067-33) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Mile Bluff Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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
Mrs. Jacklyn Susan Backhaus Agacnp-bc 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mile Bluff Medical Center
Acute Care Hospitals · Mauston, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53948 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jacklyn Backhaus's NPI number?
The NPI number for Jacklyn Backhaus is 1104631506. It was assigned to this individual provider in the NPPES registry on February 11, 2025.
Where is Jacklyn Backhaus located?
Jacklyn Backhaus practices at 1050 Division St, Mauston, WI 53948. The listed phone number is (608) 847-6161.
What is Jacklyn Backhaus's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jacklyn Backhaus enrolled in Medicare?
Yes. Jacklyn Backhaus 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.
Is Jacklyn Backhaus affiliated with any hospitals?
According to CMS data, Jacklyn Backhaus is affiliated with Mile Bluff Medical Center.
When was this NPI record last updated?
The NPPES record for Jacklyn Backhaus was last updated on March 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
