TREVEN BACK APRN, PMHNP-BC
NPI 1518646967
Nurse Practitioner - Psychiatric/Mental Health in Lexington, KY

Q: What is Treven Back's NPI number?

The NPI number for Treven Back is 1518646967. It was assigned to this individual provider in the NPPES registry on July 13, 2023.

Q: What is Treven Back's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Treven Back was last updated on June 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 13, 2023PECOS EnrolledAccepts Medicare Assignment

310 S LIMESTONE, LEXINGTON, KY 40508(859) 226-7063(859) 226-7266 Get Directions Write a Review

NPPES record last updated: June 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 21, 2025, Jul 13, 2023 (2 updates tracked since 2023).

On this page

About Treven Back Aprn, Pmhnp-bc NPPES

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

TREVEN BACK APRN, PMHNP-BC (NPI 1518646967) is an individual psychiatric/mental health provider in Lexington, Kentucky, licensed in Kentucky (4005975) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1518646967

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameTREVEN BACKCredential: APRN, PMHNP-BC

Location Address310 S LIMESTONELexington, KY 40508-3008

Mailing Address411 Summit StRichmond, KY 40475-2151 · (859) 785-9360

Phone(859) 226-7063

Fax(859) 226-7266

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 13, 2023

Last NPPES UpdateJune 21, 20252 updates tracked since enumeration

NPPES CertifiedJune 21, 2025

✔ NPI 1518646967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in KY · 4005975

310 S LIMESTONE, Lexington, KY 40508

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Treven Back Aprn, Pmhnp-bc 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 ID7719331776

PECOS Enrollment IDI20230925001055

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.

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40508 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.

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.

SHAYLA FULTON APRN

Nurse Practitioner (Psychiatric/Mental Health)