SHONNA BACK NURSE PRACTITIONER
NPI 1376734442
Nurse Practitioner - Family in Newport, KY

Q: What is Shonna Back's NPI number?

The NPI number for Shonna Back is 1376734442. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Q: What is Shonna Back's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shonna Back was last updated on July 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 05, 2007PECOS EnrolledAccepts Medicare Assignment

86.86/100

CMS Quality Rating

130 PAVILION PKWY, NEWPORT, KY 41071(859) 652-7203(859) 652-7204 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Shonna Back Nurse Practitioner NPPES

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

SHONNA BACK NURSE PRACTITIONER (NPI 1376734442) is an individual family provider in Newport, Kentucky, licensed in Kentucky (3006274) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cold Spring, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1376734442

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHONNA BACKCredential: NURSE PRACTITIONER

Location Address130 PAVILION PKWYNewport, KY 41071-2998

Mailing Address1239 Woodland Dr Ste 108Elizabethtown, KY 42701-2770 · (270) 765-4535 · Fax (270) 763-1901

Phone(859) 652-7203

Fax(859) 652-7204

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateAugust 5, 2007

Last NPPES UpdateJuly 8, 2022

NPPES CertifiedJune 7, 2022

✔ NPI 1376734442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3006274

130 PAVILION PKWY, Newport, KY 41071

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Secondary Practice Location 1

Location 13955 Alexandria PikeCold Spring, KY 41076-2027 · Phone (859) 442-8700 · Fax (859) 442-8718

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shonna Back Nurse Practitioner 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 ID6103918198

PECOS Enrollment IDI20250925003781

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.

Medicare Billing Reassignments

Medicare enrollment records show Shonna Back reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Christ Hospital Medical Associates II, LLC

2.8 mi

Family Medicine

2139 AUBURN AVE
Cincinnati, OH 45219

Reassigned Medicare billing, Kentucky enrollment
28 clinicians in this Medicare group

NPI 1982906103 (513) 351-9900

The Christ Hospital Medical Associates, LLC

2.8 mi

Internal Medicine

2139 AUBURN AVE
Cincinnati, OH 45219

Reassigned Medicare billing, Ohio enrollment
288 clinicians in this Medicare group

NPI 1114107919 (513) 351-9900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41071 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

86.86/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

100

Improvement Activities

Cost

56.2

Other Providers at the Same Location NPPES 17

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

BRITTANY NICOLE FIELDS APRN

Nurse Practitioner (Family)