KELLI A BACKLUND NP
NPI 1619777166
Nurse Practitioner - Women's Health in San Jose, CA

Q: What is Kelli Backlund's NPI number?

The NPI number for Kelli Backlund is 1619777166. It was assigned to this individual provider in the NPPES registry on March 14, 2025. The provider is also known as Kelli Carlson.

Q: What is Kelli Backlund's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Kelli Backlund was last updated on March 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 14, 2025PECOS Enrolled

3030 ALUM ROCK AVE, SAN JOSE, CA 95127(408) 457-7100 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Kelli A Backlund Np NPPES

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

KELLI A BACKLUND NP (NPI 1619777166) is an individual women's health provider in San Jose, California, licensed in California (95034378) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619777166

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameKELLI A BACKLUNDCredential: NP

Location Address3030 ALUM ROCK AVESan Jose, CA 95127-2807

Mailing Address3315 Montgomery Dr Apt 167Santa Clara, CA 95054-3039

Phone(408) 457-7100

Sole ProprietorNo

Enumeration DateMarch 14, 2025

NPPES CertifiedMarch 14, 2025

✔ NPI 1619777166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in CA · 95034378

3030 ALUM ROCK AVE, San Jose, CA 95127

Open in Google Maps ↗

Other Names 1

Former Name (1)Kelli Carlson

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelli A Backlund Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 95127 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

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.

Leave this field empty

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.

MRS. INGRID KELLY HEMINGWAY

Case Manager/Care Coordinator