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NICOLE BACKLUND FNP
NPI 1386074771
Nurse Practitioner - Family in Albany, NY

Active since November 20, 2013PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
43 NEW SCOTLAND AVE, ALBANY, NY 12208(518) 262-3125 Get Directions Write a Review

NPPES record last updated: November 20, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Backlund Fnp NPPES

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

NICOLE BACKLUND FNP (NPI 1386074771) is an individual family provider in Albany, New York, licensed in New York (F338240-1) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1386074771
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE BACKLUNDCredential: FNP
Location Address43 NEW SCOTLAND AVEAlbany, NY 12208-3412
Mailing Address43 New Scotland AveAlbany, NY 12208-3412
Phone(518) 262-3125
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 20, 2013
✔ NPI 1386074771 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 NY · F338240-1
43 NEW SCOTLAND AVE, Albany, NY 12208
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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 and accepts Medicare assignment

Nicole Backlund Fnp 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 ID6204123532
PECOS Enrollment IDI20160929001640
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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
89 services89 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

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.

MS. KELLY N MILES MS, RNC, NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
43 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-9200
DR. NATHANIEL FRANCIS EKSTROM DO
Student in an Organized Health Care Education/Training Program
43 NEW SCOTLAND AVE, DEPT. OF EMERGENCY MEDICINE, MAIL CODE: 139
ALBANY, NY 12208
Albany County (518) 262-6455
JESSICA MARIE CARPENTER
Nurse Anesthetist, Certified Registered
43 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 332-3956
MS. RACHAEL RENEE GREY CNIM
Specialist/Technologist, Other (Electroneurodiagnostic)
43 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-3125
JOSNEL CID
Student in an Organized Health Care Education/Training Program
43 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-6488
DR. JOANNA MIDURA PALUCH DO
Student in an Organized Health Care Education/Training Program
43 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-0144
RITIKA PATEL
Student in an Organized Health Care Education/Training Program
43 NEW SCOTLAND AVE
ALBANY, NY 12208
Albany County (518) 262-3125
MISS CRISTINA LYNN SILVA MS CCC SLP
Speech-Language Pathologist
43 NEW SCOTLAND AVE, COMMUNICATION DISORDERS DEPARTMENT MC 128
ALBANY, NY 12208
Albany County (518) 262-4526

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 Nicole Backlund's NPI number?

The NPI number for Nicole Backlund is 1386074771. It was assigned to this individual provider in the NPPES registry on November 20, 2013.

Where is Nicole Backlund located?

Nicole Backlund practices at 43 New Scotland Ave, Albany, NY 12208. The listed phone number is (518) 262-3125.

What is Nicole Backlund's specialty?

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

Is Nicole Backlund enrolled in Medicare?

Yes. Nicole Backlund 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 Nicole Backlund affiliated with any hospitals?

According to CMS data, Nicole Backlund is affiliated with Albany Medical Center Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Backlund was last updated on November 20, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.