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OLIVIA BACK
NPI 1235073990
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 15, 2026PECOS Enrolled
507 RILEY HOSPITAL DRIVE, INDIANAPOLIS, IN 46202(317) 948-0003 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Olivia Back NPPES

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

OLIVIA BACK (NPI 1235073990) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235073990
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameOLIVIA BACK
Location Address507 RILEY HOSPITAL DRIVEIndianapolis, IN 46202
Mailing Address507 Riley Hospital DriveIndianapolis, IN 46202 · (317) 948-0003
Phone(317) 948-0003
Sole ProprietorNo
Enumeration DateApril 15, 2026
NPPES CertifiedApril 8, 2026
✔ NPI 1235073990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
507 RILEY HOSPITAL DRIVE, Indianapolis, IN 46202
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olivia Back is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

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

ABIGAIL GRACE BOLDT
Student in an Organized Health Care Education/Training Program
507 RILEY HOSPITAL DRIVE, ROOM 5837
INDIANAPOLIS, IN 46202
Marion County (317) 948-0003
ARIANNA PARKHIDEH
Student in an Organized Health Care Education/Training Program
507 RILEY HOSPITAL DRIVE, 5837
INDIANAPOLIS, IN 46202
Marion County (317) 948-0003

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 Olivia Back's NPI number?

The NPI number for Olivia Back is 1235073990. It was assigned to this individual provider in the NPPES registry on April 15, 2026.

Where is Olivia Back located?

Olivia Back practices at 507 Riley Hospital Drive, Indianapolis, IN 46202. The listed phone number is (317) 948-0003.

What is Olivia Back's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Olivia Back enrolled in Medicare?

Yes. Olivia Back is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Olivia Back was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.