LORI JORDAN BACK FNP-C
NPI 1639934102
Nurse Practitioner - Family in St Petersburg, FL
About Lori Jordan Back Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LORI JORDAN BACK FNP-C (NPI 1639934102) is an individual family provider in St Petersburg, Florida, licensed in Florida (11031278) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lori Jordan Back Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Lori Back reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Petersburg, FL 33709
- Reassigned Medicare billing, Florida enrollment
- 24 clinicians in this Medicare group
St Petersburg, FL 33709
- Reassigned Medicare billing, Florida enrollment
- 12 clinicians in this Medicare group
St Petersburg, FL 33709
- Reassigned Medicare billing, Florida enrollment
- 18 clinicians in this Medicare group
Orlando, FL 32812
- Reassigned Medicare billing, Florida enrollment
- 32 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 9
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33709 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Lori Back's NPI number?
The NPI number for Lori Back is 1639934102. It was assigned to this individual provider in the NPPES registry on February 14, 2024.
Where is Lori Back located?
Lori Back practices at 5880 49th St N Unit N-201, St Petersburg, FL 33709. The listed phone number is (727) 300-0405.
What is Lori Back's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lori Back enrolled in Medicare?
Yes. Lori Back is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Lori Back's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lori Back reassigns Medicare benefits to 4 organizations: Heal Precisely Of Northside LLC (St Petersburg, FL), Heal Precisely Of Tampa Bay LLC (St Petersburg, FL), Saberi Advanced Wound Care LLC (St Petersburg, FL) and Dover Shores Family Practice (Orlando, FL). 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 Lori Back's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lori Back was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.