MRS. MICHELLE ANN BACKFISCH CNP
NPI 1639731474
Nurse Practitioner - Family in Scott City, MO

Active since July 02, 2019PECOS EnrolledAccepts Medicare Assignment
63.63/100
CMS Quality Rating
2102 MAIN ST, SCOTT CITY, MO 63780(573) 264-0042 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 6, 2020, Jul 2, 2019 (2 updates tracked since 2019).

About Mrs. Michelle Ann Backfisch Cnp NPPES

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

MRS. MICHELLE ANN BACKFISCH CNP (NPI 1639731474) is an individual family provider in Scott City, Missouri, licensed in Missouri (2019024732) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Southeast, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1639731474
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MICHELLE ANN BACKFISCHCredential: CNP
Location Address2102 MAIN STScott City, MO 63780-1337
Mailing Address1318a Main StScott City, MO 63780-1937
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 2, 2019
Last NPPES UpdateJuly 6, 20202 updates tracked since enumeration
NPPES CertifiedJuly 6, 2020
✔ NPI 1639731474 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 MO · 2019024732
2102 MAIN ST, Scott City, MO 63780

Accepted 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

Mrs. Michelle Ann Backfisch Cnp 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 ID4880018530
PECOS Enrollment IDI20200728001552
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

2

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

Family Medicine
1701 LACEY ST
Cape Girardeau, MO 63701
  • Reassigned Medicare billing, Missouri enrollment
  • 470 clinicians in this Medicare group
Neurological Surgery
1723 BROADWAY, SUITE 410
Cape Girardeau, MO 63701
  • Reassigned Medicare billing, Missouri enrollment
  • 10 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 3

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
407 services58 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
38 services38 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
24 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Hospital Southeast

Acute Care Hospitals · Cape Girardeau, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260110
Location1701 Lacey StCape Girardeau, MO 63701 · Cape Girardeau County
Emergency services Birthing friendly

Poplar Bluff Regional Medical Center

Acute Care Hospitals · Poplar Bluff, MO
2/5 CMS rating
OwnershipProprietary
CMS Certification Number260119
Location3100 Oak Grove RoadPoplar Bluff, MO 63901 · Butler County
Emergency services Birthing friendly

Mercy Hospital Stoddard

Acute Care Hospitals · Dexter, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260160
Location1200 N One Mile RdDexter, MO 63841 · Stoddard County
Emergency services

Saint Francis Medical Center

Acute Care Hospitals · Cape Girardeau, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260183
Location211 St Francis DrCape Girardeau, MO 63703 · Cape Girardeau County
Emergency services Birthing friendly

Mercy Hospital Perry

Critical Access Hospitals · Perryville, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number261311
Location434 North West StreetPerryville, MO 63775 · Perry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63780 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

63.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality20.19
Promoting Interoperability100
Improvement Activities40
Cost58.59

Other Providers at the Same Location NPPES 5

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

Clinic/Center
2102 MAIN ST
SCOTT CITY, MO 63780
Nurse Practitioner (Adult Health)
2102 MAIN ST
SCOTT CITY, MO 63780
Clinic/Center
2102 MAIN ST
SCOTT CITY, MO 63780
Clinic/Center (Rural Health)
2102 MAIN ST
SCOTT CITY, MO 63780
Clinic/Center (Rural Health)
2102 MAIN ST
SCOTT CITY, MO 63780

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 Michelle Backfisch's NPI number?

The NPI number for Michelle Backfisch is 1639731474. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Where is Michelle Backfisch located?

Michelle Backfisch practices at 2102 Main St, Scott City, MO 63780. The listed phone number is (573) 264-0042.

What is Michelle Backfisch's specialty?

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

Is Michelle Backfisch enrolled in Medicare?

Yes. Michelle Backfisch 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.

Which organizations bill Medicare for Michelle Backfisch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Backfisch reassigns Medicare benefits to 2 organizations: Southeast Missouri Hospital Physicians, LLC (Cape Girardeau, MO) and Regional Brain & Spine LLC (Cape Girardeau, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Backfisch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Backfisch accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Michelle Backfisch 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.

Is Michelle Backfisch affiliated with any hospitals?

According to CMS data, Michelle Backfisch is affiliated with Mercy Hospital Southeast, Poplar Bluff Regional Medical Center, Mercy Hospital Stoddard, Saint Francis Medical Center and Mercy Hospital Perry.

When was this NPI record last updated?

The NPPES record for Michelle Backfisch was last updated on July 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.