ANN-SOPHIE VAN BACKLE DO
NPI 1649809989
Student in an Organized Health Care Education/Training Program in Denver, CO
About Ann-sophie Van Backle Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANN-SOPHIE VAN BACKLE DO (NPI 1649809989) is an individual student in an organized health care education/training program in Denver, Colorado, licensed in Colorado (0009369) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Denver, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Ann-sophie Van Backle Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Ann-sophie Van Backle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Denver, CO 80218
- Reassigned Medicare billing, Colorado enrollment
- 1,270 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.
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.
DENVER, CO 80218
DENVER, CO 80218
DENVER, CO 80218
DENVER, CO 80218
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 Ann-sophie Van Backle's NPI number?
The NPI number for Ann-sophie Van Backle is 1649809989. It was assigned to this individual provider in the NPPES registry on April 8, 2020.
Where is Ann-sophie Van Backle located?
Ann-sophie Van Backle practices at 1960 N Ogden St Ste 340, Denver, CO 80218. The listed phone number is (303) 318-3830.
What is Ann-sophie Van Backle's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Ann-sophie Van Backle enrolled in Medicare?
Yes. Ann-sophie Van Backle 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 organization bills Medicare for Ann-sophie Van Backle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ann-sophie Van Backle reassigns Medicare benefits to Intermountain Medical Group Denver, LLC (Denver, CO). The 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 Ann-sophie Van Backle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ann-sophie Van Backle accept?
Health plans from Select Health list Ann-sophie Van Backle 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.
When was this NPI record last updated?
The NPPES record for Ann-sophie Van Backle was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ann-Sophie Van Backle, DO · NPI 1649809989
Student in an Organized Health Care Education/Training Program provider in Denver, Colorado. Individual provider, active in the CMS NPPES registry since April 8, 2020.
## Identity
- **NPI:** 1649809989 (Entity type: Individual)
- **Enumerated:** April 8, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 0009369 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 1960 N OGDEN ST STE 340, Denver, CO 80218-3669
- **Phone:** (303) 318-3830
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Intermountain Medical Group Denver, LLC (NPI 1083021083, Denver, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1649809989) · Data from the CMS NPPES public registry.