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 and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Lori Jordan Back Fnp-c 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.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
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 15 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.