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

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: August 02, 2026.

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
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

Secondary Practice Location 1

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

Accepted 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

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.

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
Quality100
Promoting Interoperability100
Improvement Activities40
Cost56.2

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.

Nurse Practitioner (Family)
130 PAVILION PKWY
NEWPORT, KY 41071
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
130 PAVILION PKWY
NEWPORT, KY 41071
Nurse Practitioner (Family)
130 PAVILION PKWY
NEWPORT, KY 41071
Nurse Practitioner (Family)
130 PAVILION PKWY
NEWPORT, KY 41071
Nurse Practitioner (Family)
130 PAVILION PKWY
NEWPORT, KY 41071
Nurse Practitioner (Family)
130 PAVILION PKWY
NEWPORT, KY 41071
Pharmacy (Community/Retail Pharmacy)
130 PAVILION PKWY
NEWPORT, KY 41071
Nurse Practitioner
130 PAVILION PKWY
NEWPORT, KY 41071

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 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.

Where is Shonna Back located?

Shonna Back practices at 130 Pavilion Pkwy, Newport, KY 41071. The listed phone number is (859) 652-7203.

What is Shonna Back's specialty?

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

Is Shonna Back enrolled in Medicare?

Yes. Shonna Back 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 Shonna Back accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual list Shonna Back 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 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.