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HOLLY BERRYMAN BACKE CRNP
NPI 1275166175
Nurse Practitioner in Decatur, AL

Active since February 19, 2020PECOS EnrolledAccepts Medicare Assignment
89.87/100
CMS Quality Rating
1216 SOMERVILLE RD SE, DECATUR, AL 35601(256) 340-0012(256) 340-1408 Get Directions Write a Review

NPPES record last updated: March 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 16, 2020, Feb 19, 2020 (2 updates tracked since 2020).

About Holly Berryman Backe Crnp NPPES

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

HOLLY BERRYMAN BACKE CRNP (NPI 1275166175) is an individual nurse practitioner in Decatur, Alabama, licensed in Alabama (1-139307) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1275166175
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHOLLY BERRYMAN BACKECredential: CRNP
Location Address1216 SOMERVILLE RD SEDecatur, AL 35601-4335
Mailing Address2301 Dogwood Ln SeDecatur, AL 35601-5317 · (256) 476-2295
Phone(256) 340-0012
Fax(256) 340-1408
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 19, 2020
Last NPPES UpdateMarch 16, 20202 updates tracked since enumeration
NPPES CertifiedMarch 16, 2020
✔ NPI 1275166175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AL · 1-139307
Definition
(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.
1216 SOMERVILLE RD SE, Decatur, AL 35601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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

Holly Berryman Backe Crnp 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 ID6608205083
PECOS Enrollment IDI20200406003048
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
90 services47 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35601 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.23
Promoting Interoperability100
Improvement Activities40
Cost62.33

Other Providers at the Same Location NPPES 6

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

HOME DIALYSIS OF NORTH ALABAMA INC.
Internal Medicine (Nephrology)
1216 SOMERVILLE RD SE
DECATUR, AL 35601
Morgan County (256) 340-0012
AVRA RATLIFF ADAIR CRNP
Nurse Practitioner (Acute Care)
1216 SOMERVILLE RD SE
DECATUR, AL 35601
Morgan County (256) 340-0012
LESLIE DAILEY CRNP
Nurse Practitioner (Acute Care)
1216 SOMERVILLE RD SE
DECATUR, AL 35601
Morgan County (256) 340-0012
MRS. STACEY DUNN ETHRIDGE MS, RDN, LDN
Dietitian, Registered
1216 SOMERVILLE RD SE
DECATUR, AL 35601
Morgan County (256) 340-0012
NORTH ALABAMA HOME DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1216 SOMERVILLE RD SE
DECATUR, AL 35601
Morgan County (256) 340-0012
MRS. CONSTANCE MARIE SCHNEIDER ACNP
Nurse Practitioner (Acute Care)
1216 SOMERVILLE RD SE
DECATUR, AL 35601
Morgan County (256) 340-0012

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 Holly Backe's NPI number?

The NPI number for Holly Backe is 1275166175. It was assigned to this individual provider in the NPPES registry on February 19, 2020.

Where is Holly Backe located?

Holly Backe practices at 1216 Somerville Rd SE, Decatur, AL 35601. The listed phone number is (256) 340-0012.

What is Holly Backe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Holly Backe enrolled in Medicare?

Yes. Holly Backe 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 Holly Backe accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Holly Backe 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.

When was this NPI record last updated?

The NPPES record for Holly Backe was last updated on March 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.